Provider Demographics
NPI:1205938479
Name:PIKE CREEK ASSOCIATES IN WOMENCARE P.A.
Entity type:Organization
Organization Name:PIKE CREEK ASSOCIATES IN WOMENCARE P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:W
Authorized Official - Last Name:MAYNARD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:302-995-7073
Mailing Address - Street 1:4600 NEW LINDEN HILL RD
Mailing Address - Street 2:BROWNSTONE PLAZA SUITE 202
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19808-2953
Mailing Address - Country:US
Mailing Address - Phone:302-995-7073
Mailing Address - Fax:302-995-9103
Practice Address - Street 1:4600 NEW LINDEN HILL RD
Practice Address - Street 2:BROWNSTONE PLAZA SUITE 202
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19808-2953
Practice Address - Country:US
Practice Address - Phone:302-995-7073
Practice Address - Fax:302-995-9103
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-01
Last Update Date:2008-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC10002529207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE000J49P04Medicare ID - Type Unspecified
DEB66455Medicare UPIN