NPIMap

Organization Active NPI

Urologic Surgical Associates of Delaware

  • Urology Physician
  • Wilmington, DE
National Provider Identifier
1255435343
Registry record updated Nov 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
2003100929 Issued in DE
Legal business name
UROLOGIC SURGICAL ASSOCIATES OF DELAWARE
Practice address
1815 W 13TH St
The Station Suite 4
Wilmington, DE 19806-4054
Phone
(302) 517-8958
Fax
(302) 571-1320
NPI assigned
Sep 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2014

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

Authorized official

Name
Francis Jackson Schanne, MD
Title
President Group Administrator
Phone
(302) 571-8958

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208800000X 2003100929 DE Primary

Addresses

Primary practice location

1815 W 13TH St
The Station Suite 4
Wilmington, DE 19806-4054

Mailing address

1815 W 13TH St
The Station Suite 4
Wilmington, DE 19806-4054
Phone (302) 517-8958

Other identifiers 8

IdentifierTypeStateIssuer
1000030182OtherDELAWARE PHYSICIANS
2278204000OtherAMERIHEALTH PERS CHOICE
DA9575OtherRAILROAD MEDICARE
2278204000OtherKEYSTONE
2278204000OtherAMERIHEALTH HMO
1000030182OtherDIAMOND STATE PARTNERS
1000030182OtherEDS
08D1018688OtherRAILROAD MEDICARE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416441600000",
    "number": "1255435343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 W 13TH ST",
            "address_2": "THE STATION SUITE 4",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198064054",
            "telephone_number": "302-517-8958",
            "fax_number": "302-571-1320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 W 13TH ST",
            "address_2": "THE STATION SUITE 4",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198064054",
            "telephone_number": "302-517-8958",
            "fax_number": "302-571-1320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGIC SURGICAL ASSOCIATES OF DELAWARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-11",
        "last_updated": "2014-11-20",
        "status": "A",
        "authorized_official_last_name": "SCHANNE",
        "authorized_official_first_name": "FRANCIS",
        "authorized_official_middle_name": "JACKSON",
        "authorized_official_title_or_position": "PRESIDENT GROUP ADMINISTRATOR",
        "authorized_official_telephone_number": "302-571-8958",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": "DE",
            "license": "2003100929",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELAWARE PHYSICIANS",
            "identifier": "1000030182",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH PERS CHOICE",
            "identifier": "2278204000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DA9575",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE",
            "identifier": "2278204000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH HMO",
            "identifier": "2278204000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DIAMOND STATE PARTNERS",
            "identifier": "1000030182",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EDS",
            "identifier": "1000030182",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "08D1018688",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.