Healthcare Provider Details

I. General information

NPI: 1619036381
Provider Name (Legal Business Name): WILMINGTON AMBULATORY SURGICAL CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2006
Last Update Date: 05/09/2023
Certification Date: 05/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 FOULK RD STE 100
WILMINGTON DE
19803-3155
US

IV. Provider business mailing address

161 BECKWOODS DRIVE
BEAR DE
19701-3833
US

V. Phone/Fax

Practice location:
  • Phone: 302-777-4800
  • Fax: 302-777-2111
Mailing address:
  • Phone: 302-266-9166
  • Fax: 866-319-6725

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State
# 7
Primary TaxonomyN
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number
License Number State
# 8
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number2000101490
License Number StateDE

VIII. Authorized Official

Name: KEMAL ERKAN
Title or Position: OWNER/CHAIRMAN
Credential:
Phone: 302-266-9166