Provider Demographics
NPI:1205881893
Name:OLEWILER, SCOTT D (MD)
Entity type:Individual
Prefix:
First Name:SCOTT
Middle Name:D
Last Name:OLEWILER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:400 SAVANNAH RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:LEWES
Mailing Address - State:DE
Mailing Address - Zip Code:19958-1499
Mailing Address - Country:US
Mailing Address - Phone:302-645-3232
Mailing Address - Fax:302-645-3198
Practice Address - Street 1:400 SAVANNAH RD
Practice Address - Street 2:SUITE A
Practice Address - City:LEWES
Practice Address - State:DE
Practice Address - Zip Code:19958-1499
Practice Address - Country:US
Practice Address - Phone:302-645-3555
Practice Address - Fax:302-644-3560
Is Sole Proprietor?:No
Enumeration Date:2006-05-23
Last Update Date:2014-02-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
DEC1-0004824207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE000000207285OtherUNISON HEALTH CARE-MCAID
DE0000842001Medicaid
DE0000842001OtherDE PHYSICIANS CARE MCAID
DE000H92OtherCOVENTRY HEALTH CARE
DE440002386OtherRAILROAD MEDICARE
DE522011LIDOtherBCBS OF DE INFECTIOUS DIS
DE0000842001OtherDIAMOND STATE MEDICAID
DE000H92OtherCOVENTRY HEALTH CARE
DE000000207285OtherUNISON HEALTH CARE-MCAID