First State Orthopaedics, PA

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

FIRST STATE ORTHOPAEDICS, PA

Practice address

118 Atlantic Ave Ste 301
Ocean View, DE 19970-9163

Phone

(302) 644-3311

Fax

(302) 644-3300

NPI assigned

Apr 26, 2019

Organization subpart

Yes

Parent organization

FIRST STATE ORTHOPAEDICS, PAAs reported in NPPES

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 7

Addresses

Other identifiers 2

Other names 1

• Orthopaedic Associates of Southern Delaware, PA Doing business as

Part of

First State Orthopaedics PA

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Claire Megan Capobianco

  • Foot & Ankle Surgery Podiatrist
  • Lewes, DE
  • NPI 1760661078
  NPD (past)
• Edmund Thomas Carroll III, D.O.

  • Orthopaedic Surgery Physician
  • Lewes, DE
  • NPI 1629029749
  NPD (past)
• Joseph M Farrell, D.O.

  • Orthopaedic Surgery Physician
  • Lewes, DE
  • NPI 1831418912
  NPD (past)
• Gerard Joseph Haines, PA-C

  • Physician Assistant
  • Lewes, DE
  • NPI 1326099250
  NPD (past)
• Henry N Mensack, P.A.-C

  • Physician Assistant
  • Milford, DE
  • NPI 1104802925
  NPD (past)
• Roman C Orsini, DPM

  • Foot & Ankle Surgery Podiatrist
  • Lewes, DE
  • NPI 1184721664
  NPD (past)
• Gita Pillai, M.D.

  • Orthopaedic Surgery Physician
  • Lewes, DE
  • NPI 1548428725
  NPD (past)

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

{
    "created_epoch": "1556236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701388800000",
    "number": "1316501281",
    "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",
            "fax_number": "302-731-7049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 ATLANTIC AVE STE 301",
            "city": "OCEAN VIEW",
            "state": "DE",
            "postal_code": "199709163",
            "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": "2019-04-26",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "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": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0105X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Surgery of the Hand",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL INSURANCES",
            "identifier": "1184681488",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NSC",
            "identifier": "0595270033",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orthopaedic Associates of Southern Delaware, PA",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Orthopaedic Associates of Southern Delaware, PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Margaret Ewancio
• Cindy A Fajardo, PT
• Margaret C Gatti, RNMSN APRN BC
• Gina M Genco Endy, LMT
• Amy Griffin
• Ian Griffith
• Diana Gertrud Heath, LPC

• Orthopaedic Surgery Physician in Ocean View, DE
• Providers in Ocean View, DE by specialty
• Orthopaedic Surgery Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2023; 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.