First State Foot & Ankle, LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

E1-0000143 Issued in DE

Legal business name

FIRST STATE FOOT & ANKLE, LLC

Practice address

4512 Kirkwood Highway Suite 203
Wilmington, DE 19808

Phone

(302) 984-0257

Fax

(302) 984-0258

NPI assigned

Jul 26, 2006

Last updated

Jul 7, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Heather Holveck

Title

Office Manager

Phone

(302) 984-0257

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in DE

Enrollment records 1

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.

• Anmol Burmi

  • Podiatrist
  • Wilmington, DE
  • NPI 1518546035
  Medicare reassignment Care Compare group NPD
• Joseph A Ciampoli, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Wilmington, DE
  • NPI 1588602080
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657152000000",
    "number": "1154344422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4512 KIRKWOOD HIGHWAY SUITE 203",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "19808",
            "telephone_number": "302-984-0257",
            "fax_number": "302-984-0258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4512 KIRKWOOD HIGHWAY SUITE 203",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "19808",
            "telephone_number": "302-984-0257",
            "fax_number": "302-984-0258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST STATE FOOT & ANKLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A",
        "authorized_official_last_name": "HOLVECK",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "302-984-0257"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "DE",
            "license": "E1-0000143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH/ KEYSTONE #",
            "identifier": "2245524000",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA GROUP #",
            "identifier": "7752539",
            "state": "DE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000027213",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELAWARE PHYSICIANS INC.",
            "identifier": "0001047917",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennette A Firlein, APN
• First State Dental P.a.
• First State Diagnostic Center, Inc
• First State Employment Services
• First State Endodontics, LLC
• First State Home Care LLC
• First State Infectious Disease Specialists LLC
• First State Medical Associates
• First State Medical PA
• First State Montessori

• Foot & Ankle Surgery Podiatrist in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Foot & Ankle Surgery Podiatrist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; 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.