Individual provider Active NPI

Stephen Daniel Carey, M.D.

  • Surgery Physician
  • Seaford, DE
National Provider Identifier
1326110511
Registry record updated Nov 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
C1-0003913 Issued in 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
Last updated
Nov 14, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X C1-0003913 DE Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100716000240 DE Practitioner - General Surgery 8527190172 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Tidalhealth Physician Network, Inc. CurrentSince Nov 1, 2019 Accepting new patients

Locations

543 N Shipley St
Ste A
Seaford, DE 19973
Phone (302) 629-8662

801 Middleford Rd
Seaford, DE 19973
Phone (302) 628-9178

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194998400000",
    "number": "1326110511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "543 N SHIPLEY ST",
            "address_2": "SUITE A",
            "city": "SEAFORD",
            "state": "DE",
            "postal_code": "199732339",
            "telephone_number": "302-629-8662",
            "fax_number": "302-629-7661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "543 N SHIPLEY ST",
            "address_2": "SUITE A",
            "city": "SEAFORD",
            "state": "DE",
            "postal_code": "199732339",
            "telephone_number": "302-629-8662",
            "fax_number": "302-629-7661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAREY",
        "first_name": "STEPHEN",
        "middle_name": "DANIEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "DE",
            "license": "C1-0003913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seaford, DE

Sources for this page

Verify at the official NPI Registry.