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FIRST STATE ORTHOPAEDICS PA NPI 1619528775


NPI Information

NPI: 1619528775
Provider Name: FIRST STATE ORTHOPAEDICS, PA

Doing Business As: ORTHOPAEDIC ASSOCIATES OF SOUTHERN DELAWARE, PA

Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization
Address:
12100 BLACK SWAN DRIVE
SUITE 201
LEWES, DE
ZIP 19958
Phone: (302) 644-3311
Get Directions

FIRST STATE ORTHOPAEDICS, PA is an orthopaedic surgery in Lewes, DE. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. FIRST STATE ORTHOPAEDICS, PA NPI is 1619528775. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Orthopaedic Associates Of Southern Delaware, Pa.

The provider's business location address is:

12100 BLACK SWAN DRIVE
SUITE 201
LEWES, DE
ZIP 19958
Phone: (302) 644-3311
Fax: (302) 644-3300

The provider's authorized official is David Blaeuer .
The authorized official title is Executive Director and has the following contact phone number (302) 731-2888.

The enumeration date for this NPI number is 9/20/2019 and was last updated on 12/1/2023.


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
1207L00000XAnesthesiologyNo
2207LP2900XAnesthesiologyPain MedicineNo
3208600000XSurgeryNo
42086S0105XSurgerySurgery of the HandNo
5213E00000XPodiatristNo
6363A00000XPhysician AssistantNo
7207X00000XOrthopaedic SurgeryYes

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
10595270034OTHERMEDICARE NSC
21184681488OTHERCOMMERCIAL INSURANCES

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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