OrganizationActive
State of Delaware Department of Public Heath Access Program Telehealth
NPI 1073330379 · General Practice Physician · Dover, DE
Provider details
- NPI number
- 1073330379
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- De Dph Care Access Telehealth
- Organization subpart
- Yes
- Authorized official
- Olubusola Ogunlade, Chief Physician Division of Public(302) 730-2941
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Infectious Disease Physician207RI0200X
Allopathic & Osteopathic Physicians
- Obstetrics & Gynecology Physician207V00000X
Allopathic & Osteopathic Physicians
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
417 Federal Street
Dover, DE 19901
Phone: (302) 744-4700
Fax: (302) 744-5361
Street-level locationGet directions
Mailing address
417 Federal Street
Dover, DE 19901
Other names (DBA / former)
- Other name
- Care Access Clinic
Registry dates
- Enumerated
- 2024-09-26
- Last updated
- 2024-09-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.