First State Spine and Pain Treatment Centers

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

FIRST STATE SPINE AND PAIN TREATMENT CENTERS

Practice address

1600 Pennsylvania Ave
Suite 204
Wilmington, DE 19806-4047

Phone

(302) 439-3063

Fax

(302) 439-3372

NPI assigned

Oct 9, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Edward C White

Title

Owner

Phone

(302) 439-3063

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1349740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379894400000",
    "number": "1174875587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 PENNSYLVANIA AVE",
            "address_2": "SUITE 204",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198064047",
            "telephone_number": "302-439-3063",
            "fax_number": "302-439-3372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 PENNSYLVANIA AVE",
            "address_2": "SUITE 204",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198064047",
            "telephone_number": "302-439-3063",
            "fax_number": "302-439-3372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST STATE SPINE AND PAIN TREATMENT CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-09",
        "last_updated": "2013-09-23",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "302-439-3063",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1740229046",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• First State Orthopaedics, PA
• First State Pharmacy
• First State Pharmacy Inc
• First State Rehab at Home, LLC
• First State Spinal Rehabilitation LLC
• First State Youth
• First Urology, PSC
• First Wilmington Home Care LLC
• Firstlight Home Care of Hockessin
• Christina Marie Fischer, CRNP

• Physical Medicine & Rehabilitation Physician in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Physical Medicine & Rehabilitation Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2013; 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.