Active NPI
First State Orthopaedics, PA
- Orthopaedic Surgery Physician
- Lewes, DE
National Provider Identifier
1295218931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- FIRST STATE ORTHOPAEDICS, PA
- Practice address
- 17015 Old Orchard Rd Unit 2
Lewes, DE 19958-4849 - Phone
- (302) 644-3311
- Fax
- (302) 644-3300
- NPI assigned
- Sep 10, 2018
- Organization subpart
- Yes
- Parent organization
- FIRST STATE ORTHOPAEDICS PA
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David Blaeuer
- Title
- Executive Director
- Phone
- (302) 731-2888
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | Primary |
Addresses
Primary practice location
17015 Old Orchard Rd Unit 2
Lewes, DE 19958-4849
Mailing address
211 Executive Dr Ste 11
Newark, DE 19702-3358
Phone (302) 731-2888
Other names 1
- Orthopaedic Associates of Southern Delaware
National Provider Directory
National Provider Directory- Part of
- First State Orthopaedics PA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536537600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1536537600000",
"number": "1295218931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 EXECUTIVE DR STE 11",
"city": "NEWARK",
"state": "DE",
"postal_code": "197023358",
"telephone_number": "302-731-2888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17015 OLD ORCHARD RD UNIT 2",
"city": "LEWES",
"state": "DE",
"postal_code": "199584849",
"telephone_number": "302-644-3311",
"fax_number": "302-644-3300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FIRST STATE ORTHOPAEDICS, PA",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "FIRST STATE ORTHOPAEDICS PA",
"enumeration_date": "2018-09-10",
"last_updated": "2018-09-10",
"status": "A",
"authorized_official_last_name": "BLAEUER",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "302-731-2888"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Orthopaedic Associates of Southern Delaware",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Orthopaedic Associates of Southern Delaware",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lewes, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.