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PENINSULA ORTHOPAEDIC ASSOC. PA NPI 1780814202


NPI Information

NPI: 1780814202
Provider Name: PENINSULA ORTHOPAEDIC ASSOC., PA
Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization

CLIA Number: 21D2079915

Address:
503 HEALTH SERVICES DR
SEAFORD, DE
ZIP 19973
Phone: (410) 749-4154
Get Directions

PENINSULA ORTHOPAEDIC ASSOC., PA is an orthopaedic surgery in Seaford, 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. PENINSULA ORTHOPAEDIC ASSOC., PA NPI is 1780814202. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

503 HEALTH SERVICES DR
SEAFORD, DE
ZIP 19973-782
Phone: (410) 749-4154
Fax: (410) 860-9583

The provider's authorized official is Susan D Calhoun .
The authorized official title is Office Manager and has the following contact phone number (410) 749-4154.

The CLIA number assigned to this NPI record is 21D2079915 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/17/2009 and was last updated on 6/24/2021.


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
1207X00000XOrthopaedic SurgeryYes
2332B00000XDurable Medical Equipment & Medical SuppliesDELAWARENo
3335E00000XProsthetic/Orthotic SupplierDELAWARENo

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
1157913OTHERDELAWAREMEDICARE PTAN

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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