Organization Active NPI

First State Orthopaedics, PA

  • Orthopaedic Surgery Physician
  • Lewes, DE
National Provider Identifier
1295218931
Registry record updated Sep 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
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 PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 10, 2018

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)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

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.

Verify at the official NPI Registry.