NPIMap

Organization Active NPI

Diamond State Surgical Associates,LLC

  • Surgery Physician
  • Middletown, DE
National Provider Identifier
1255746590
Registry record updated Jul 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
C20010031 Issued in DE
Legal business name
DIAMOND STATE SURGICAL ASSOCIATES,LLC
Practice address
124 Sleepy Hollow Dr
Suite 201
Middletown, DE 19709-5838
Phone
(302) 449-9660
Fax
(302) 449-9661
NPI assigned
Jun 25, 2014
Last updated
Jul 7, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2015

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

Authorized official

Name
Dr. Kevin T.C. Geffe, D.O.
Title
Physician/ Owner
Phone
(207) 450-6432

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X C20010031 DE Primary

Addresses

Primary practice location

124 Sleepy Hollow Dr
Suite 201
Middletown, DE 19709-5838

Mailing address

124 Sleepy Hollow Dr
Suite201
Middletown, DE 19709-5838
Phone (302) 449-9660

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1403654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436227200000",
    "number": "1255746590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 SLEEPY HOLLOW DR",
            "address_2": "SUITE201",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197095838",
            "telephone_number": "302-449-9660",
            "fax_number": "302-449-9661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 SLEEPY HOLLOW DR",
            "address_2": "SUITE 201",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197095838",
            "telephone_number": "302-449-9660",
            "fax_number": "302-449-9661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAMOND STATE SURGICAL ASSOCIATES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-25",
        "last_updated": "2015-07-07",
        "status": "A",
        "authorized_official_last_name": "GEFFE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "T.C.",
        "authorized_official_title_or_position": "PHYSICIAN/ OWNER",
        "authorized_official_telephone_number": "207-450-6432",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "DE",
            "license": "C20010031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2015; 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.