Organization Active NPI

First State Orthopaedics PA

  • Orthopaedic Surgery Physician
  • Lewes, DE
National Provider Identifier
1114465812
Registry record updated Nov 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
C10006103 Issued in DE
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 PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 8, 2018

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)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X C10006103 DE Primary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1184681488OtherCOMMERCIAL INSURANCES
0000633502MedicaidDE

Other names 1

  • Orthopaedic Associates of Southern Delaware Doing business as

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.

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.

Verify at the official NPI Registry.