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FIRST STATE FOOT & ANKLE LLC NPI 1154344422


NPI Information

NPI: 1154344422
Provider Name: FIRST STATE FOOT & ANKLE, LLC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
4512 KIRKWOOD HIGHWAY SUITE 203
WILMINGTON, DE
ZIP 19808
Phone: (302) 984-0257
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FIRST STATE FOOT & ANKLE, LLC is a foot and ankle surgery podiatrist in Wilmington, DE. FIRST STATE FOOT & ANKLE, LLC NPI is 1154344422. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4512 KIRKWOOD HIGHWAY SUITE 203
WILMINGTON, DE
ZIP 19808
Phone: (302) 984-0257
Fax: (302) 984-0258

The provider's authorized official is Heather Holveck .
The authorized official title is Office Manager and has the following contact phone number (302) 984-0257.

The enumeration date for this NPI number is 7/26/2006 and was last updated on 3/13/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213ES0103XPodiatristFoot & Ankle SurgeryE1-0000143DELAWAREYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10001047917OTHERDELAWAREDELAWARE PHYSICIANS INC.
21000027213MEDICAIDDELAWARE
32245524000OTHERDELAWAREAMERIHEALTH/ KEYSTONE #
47752539OTHERDELAWAREAETNA GROUP #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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