NPIMap

Organization Active NPI

Delaware Spine Center

  • Interventional Pain Medicine Physician
  • Bear, DE
National Provider Identifier
1174933907
Registry record updated May 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
DELAWARE SPINE CENTER
Practice address
101 Becks Woods Dr
Suite 100
Bear, DE 19701-3854
Phone
(302) 287-9914
Fax
(866) 347-3120
NPI assigned
May 1, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2014

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

Authorized official

Name
Dr. Andrew Mark Leitzke, DCNPI 1194859959
Title
Owner
Phone
(302) 287-9914

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
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X DE Primary

Addresses

Primary practice location

101 Becks Woods Dr
Suite 100
Bear, DE 19701-3854

Mailing address

PO Box 1517
Bear, DE 19701-7517
Phone (302) 287-9914

National Provider Directory

National Provider Directory

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": "1398902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398902400000",
    "number": "1174933907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1517",
            "city": "BEAR",
            "state": "DE",
            "postal_code": "197017517",
            "telephone_number": "302-287-9914",
            "fax_number": "866-347-3120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 BECKS WOODS DR",
            "address_2": "SUITE 100",
            "city": "BEAR",
            "state": "DE",
            "postal_code": "197013854",
            "telephone_number": "302-287-9914",
            "fax_number": "866-347-3120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELAWARE SPINE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-01",
        "last_updated": "2014-05-01",
        "status": "A",
        "authorized_official_last_name": "LEITZKE",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "302-287-9914",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "DE",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bear, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2014; 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.