Stephen Daniel Carey, M.D.
Individual provider Active NPI Surgery Physician · Seaford, DE
NPI 1326110511 · NPPES record last updated Nov 14, 2007
Key facts
- NPI
- 1326110511
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- C1-0003913 (DE)
- Practice address
- 543 N Shipley St
Suite a
Seaford, DE 19973-2339 - Phone
- (302) 629-8662
- Fax
- (302) 629-7661
- NPI assigned
- Nov 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DE
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100716000240 | DE | Practitioner - General Surgery | 8527190172 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tidalhealth Physician Network, Inc. | Current |
Accepting new patients |
Locations
801 Middleford Rd
Seaford, DE 19973
Phone (302) 628-9178
543 N Shipley St
Ste A
Seaford, DE 19973
Phone (302) 629-8662
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | C1-0003913 | DE | Yes |
Addresses
Primary practice location
543 N Shipley St
Suite a
Seaford, DE 19973-2339
Mailing address
543 N Shipley St
Suite a
Seaford, DE 19973-2339
Phone (302) 629-8662
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000414801 | Medicaid | DE |
Other providers in Seaford, DE
- Dorothy Mae Callaway
- John B Campbell
- Linet Odhiambo Campbell
- Latoya Camper
- Erica Nicole Cannon
- Julie Ann Carson
- CDM Mental Health Therapy Services LLC
- Center for Healing and Hope
- Angela A Cephas
- Kay Chaffinch
All providers in Seaford, DE · Surgery Physician in Delaware
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 14, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.