Organization Active NPI

Delaware Orthopaedics and Sports Medicine

  • Orthopaedic Surgery Physician
  • Dover, DE
National Provider Identifier
1063452928
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
C1004912 Issued in DE
Legal business name
DELAWARE ORTHOPAEDICS AND SPORTS MEDICINE
Practice address
230 Beiser Blvd
Suite 100
Dover, DE 19904-7793
Phone
(302) 730-0840
Fax
(302) 730-3006
NPI assigned
Jun 8, 2006
Last updated
May 21, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Eric Todd Schwartz, M.D.NPI 1811991565
Title
Owner/President
Phone
(302) 730-0840

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X C1004912 DE Primary

Addresses

Primary practice location

230 Beiser Blvd
Suite 100
Dover, DE 19904-7793

Mailing address

230 Beiser Blvd
Suite 100
Dover, DE 19904-7793
Phone (302) 730-0840

Other identifiers 2

IdentifierTypeStateIssuer
1000025134MedicaidDE
0000762501MedicaidDE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040512000153 DE Part B Supplier - Clinic/Group Practice 7214926310 Receives reassigned benefits from 1 practitioner
Practice locations: Dover, DE; Seaford, DE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1063452928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 BEISER BLVD",
            "address_2": "SUITE 100",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199047793",
            "telephone_number": "302-730-0840",
            "fax_number": "302-730-3006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 BEISER BLVD",
            "address_2": "SUITE 100",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199047793",
            "telephone_number": "302-730-0840",
            "fax_number": "302-730-3006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELAWARE ORTHOPAEDICS AND SPORTS MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZ",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "302-730-0840",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "DE",
            "license": "C1004912",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000025134",
            "state": "DE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000762501",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.