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SPORTS MEDICINE OF DELAWARE INC. NPI 1790722478


NPI Information

NPI: 1790722478
Provider Name: SPORTS MEDICINE OF DELAWARE, INC.
Classification: Internal Medicine - 207RS0010X
Entity Type: Organization

Specialization: Sports Medicine

Address:
102 SLEEPY HOLLOW DR
SUITE 102
MIDDLETOWN, DE
ZIP 19709
Phone: (302) 376-9711
Get Directions

SPORTS MEDICINE OF DELAWARE, INC. is a sports medicine internal medicine in Middletown, DE. The provider is an internist trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual. SPORTS MEDICINE OF DELAWARE, INC. NPI is 1790722478. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

102 SLEEPY HOLLOW DR
SUITE 102
MIDDLETOWN, DE
ZIP 19709-894
Phone: (302) 376-9711
Fax: (302) 376-9713

The provider's authorized official is Vincent Neil Disabella .
The authorized official title is President and has the following contact phone number (302) 376-9711.

The enumeration date for this NPI number is 6/1/2006 and was last updated on 11/4/2008.


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
1207RS0010XInternal MedicineSports MedicineC2-0005338DELAWAREYes

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
1100040718MEDICAIDDELAWARE
22803109000OTHERDELAWAREAMERIHEALTH
3=========OTHERDELAWAREBLUE CROSS BLUE SHIELD DELAWARE
4132210MEDICARE PINDELAWARE

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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