First State Podiatry, L.L.C.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

E1-0000139 Issued in DE

Legal business name

FIRST STATE PODIATRY, L.L.C.

Practice address

1177 S Governors Ave Ste B
Dover, DE 19904-6903

Phone

(302) 678-4612

Fax

(302) 678-4614

NPI assigned

Jan 2, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Marco Paul Holgado, D.P.M.NPI 1760541528

Title

Podiatrist

Phone

(302) 678-4612

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DE2 enrollments

Enrollment records 2

Locations

Practitioners 1

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

• Marco Paul Holgado, D.P.M.

  • Podiatrist
  • Dover, DE
  • NPI 1760541528

  DE, Podiatrist

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712707200000",
    "number": "1376600932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1177 S GOVERNORS AVE STE B",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199046903",
            "telephone_number": "302-678-4612",
            "fax_number": "302-678-4614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1177 S GOVERNORS AVE STE B",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199046903",
            "telephone_number": "302-678-4612",
            "fax_number": "302-678-4614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST STATE PODIATRY, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A",
        "authorized_official_last_name": "HOLGADO",
        "authorized_official_first_name": "MARCO",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "302-678-4612",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "DE",
            "license": "E1-0000139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• First State Orthopaedics PA
• First State Orthopaedics, PA
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• First State Orthopaedics, PA
• First State Orthopaedics, PA
• Fischer Nutrition LLC
• Ashley Fischer
• Adetokunbo S Fisher, NP
• Adrianne Fisher, FNP-BC
• Daniel L. Fisher, M.D.

• All providers in Dover, DE
• Podiatrist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.