Active NPI
First State Orthopaedics PA
- Orthopaedic Surgery Physician
- Lewes, DE
National Provider Identifier
1114465812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- C10006103
- Legal business name
- FIRST STATE ORTHOPAEDICS PA
- Practice address
- 701 Savannah Rd Ste B
Lewes, DE 19958-1550 - Phone
- (302) 645-2805
- Fax
- (302) 645-1164
- NPI assigned
- Feb 2, 2017
- Organization subpart
- Yes
- Parent organization
- FIRST STATE ORTHOPAEDICS PA
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Arleen A Aukamp
- Title
- Credentialing Manager
- Phone
- (302) 451-6913
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | C10006103 | DE | Primary |
| Surgery Physician | 208600000X | C10008726 | DE |
Addresses
Primary practice location
701 Savannah Rd Ste B
Lewes, DE 19958-1550
Mailing address
211 Executive Dr Ste 11
Newark, DE 19702-3358
Phone (302) 731-2888
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184681488 | Other | COMMERCIAL INSURANCES | |
| 0000633502 | Medicaid | DE |
Other names 1
- Orthopaedic Associates of Southern Delaware
National Provider Directory
National Provider Directory- Part of
- First State Orthopaedics PA
Locations
701 Savannah Rd
Ste B
Lewes, DE 19958
Phone (302) 645-1099
329 Mullet Run
Milford, DE 19963
Phone (302) 422-5242
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Lewes, DE
- NPI 1831418912
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485993600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1541635200000",
"number": "1114465812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 EXECUTIVE DR STE 11",
"city": "NEWARK",
"state": "DE",
"postal_code": "197023358",
"telephone_number": "302-731-2888",
"fax_number": "302-731-7049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 SAVANNAH RD STE B",
"city": "LEWES",
"state": "DE",
"postal_code": "199581550",
"telephone_number": "302-645-2805",
"fax_number": "302-645-1164"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FIRST STATE ORTHOPAEDICS PA",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "FIRST STATE ORTHOPAEDICS PA",
"enumeration_date": "2017-02-02",
"last_updated": "2018-11-08",
"status": "A",
"authorized_official_last_name": "AUKAMP",
"authorized_official_first_name": "ARLEEN",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CREDENTIALING MANAGER",
"authorized_official_telephone_number": "302-451-6913"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "DE",
"license": "C10006103",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": "DE",
"license": "C10008726",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMERCIAL INSURANCES",
"identifier": "1184681488",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0000633502",
"state": "DE"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Orthopaedic Associates of Southern Delaware",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lewes, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.