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SOUTHERN DELAWARE FOOT & ANKLE LLC NPI 1548301005


NPI Information

NPI: 1548301005
Provider Name: SOUTHERN DELAWARE FOOT & ANKLE LLC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
543 N SHIPLEY ST
SUITE C
SEAFORD, DE
ZIP 19973
Phone: (302) 629-3000
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SOUTHERN DELAWARE FOOT & ANKLE LLC is a foot and ankle surgery podiatrist in Seaford, DE. SOUTHERN DELAWARE FOOT & ANKLE LLC NPI is 1548301005. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

543 N SHIPLEY ST
SUITE C
SEAFORD, DE
ZIP 19973-339
Phone: (302) 629-3000
Fax: (302) 629-3080

The provider's authorized official is Bradley T Lemon .
The authorized official title is Owner and has the following contact phone number (302) 629-3000.

The enumeration date for this NPI number is 2/9/2007 and was last updated on 4/26/2011.


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 SurgeryE1-0000121DELAWAREYes

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
1510401832OTHERDELAWAREBLUE CROSS BLUE SHIELD
2G01460MEDICARE ID-TYPE UNSPECIFIEDDELAWARE
3P00062710OTHERDELAWARERAILROAD MEDICARE
43314440OTHERDELAWAREAETNA - PPO
5U66126MEDICARE UPINDELAWARE
63316680OTHERDELAWAREAETNA - HMO
78699345001OTHERDELAWARECIGNA
82161OTHERDELAWARECOVENTRY
92220599000OTHERDELAWAREAMERIHEALTH
101000025919MEDICAIDDELAWARE
115066550001MEDICARE NSCDELAWARE
12448142OTHERDELAWAREOPTIMUM CHOICE

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: 4/28/2024

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