Organization Active NPI

First State Orthopaedics PA

Doing business as Orthopaedic Associates of Southern Delaware

Orthopaedic Surgery Physician
Millsboro, DE

National Provider Identifier

1386945442

Registry record updated Dec 1, 2023

On this page

Key facts
NPPES NPI Registry
National Provider Directory
NPI Registry JSON
Other providers in Millsboro, DE
Sources for this page

Key facts

NPPES NPI Registry

Primary specialty: Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name: FIRST STATE ORTHOPAEDICS PA
Doing business as: Orthopaedic Associates of Southern Delaware
Practice address: 26744 John J Williams Hwy
Suite 4
Millsboro, DE 19966-4667
Phone: (302) 644-3311
Fax: (302) 644-3300
NPI assigned: Nov 5, 2010
Organization subpart: Yes
Parent organization: FIRST STATE ORTHOPAEDICS PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 1, 2023

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

Authorized official

Name: Arleen A Aukamp
Title: Credentialing Manager
Phone: (302) 451-6913

Specialties & licenses 9

Specialty (taxonomy)	Code	State	Primary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP	207L00000X
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP	207LP2900X
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP	207X00000X	DE	Primary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP	208100000X	DE
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP	208600000X
Surgery of the Hand (Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP	2086S0105X
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP	213E00000X
Foot & Ankle Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP	213ES0103X	DE
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP	363A00000X	DE

Addresses

Primary practice location

26744 John J Williams Hwy
Suite 4
Millsboro, DE 19966-4667

Mailing address

211 Executive Dr Ste 11
Newark, DE 19702-3358
Phone (302) 731-2888

Other identifiers 17

Identifier	Type	State	Issuer
0848032000	Other		AMERIHEALTH
510370286	Other		UNION LABOR LIFE INSURANCE COMPANY
510370286	Other		ONE NET PPO, MAMSI, OPTIMUM CHOICE, M.D. IPA
510370286	Other		CORVEL / CORCARE
510370286	Other		HEALTH NET TRICARE / CHAMPUS
1030265	Other		AETNA US HEALTHCARE
510370286	Other		UNITED HEALTH CARE
0000633502	Medicaid	DE
510343207	Other		BLUE CROSS BLUE SHIELD OF DELAWARE
510370286	Other		EASTERN SUSSEX PHYSICIANS ORGANIZATION
510370286	Other		RAILROAD MEDICARE
510370286	Other		PERDUE FARMS, INC.
510370286	Other		CIGNA
510370286	Other		COVENTRY HEALTHCARE OF DELAWARE
510370286	Other		DEVON HEALTH SERVICES
510370286	Other		GREAT WEST HEALTHCARE
204885	Other		UNISON HEALTH PLAN

Other names 1

Orthopaedic Associates of Southern Delaware Doing business as

National Provider Directory

Part of: Wilmington Ortho Cons P

NPI Registry JSON

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

{
    "created_epoch": "1288915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701388800000",
    "number": "1386945442",
    "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": "26744 JOHN J WILLIAMS HWY",
            "address_2": "SUITE 4",
            "city": "MILLSBORO",
            "state": "DE",
            "postal_code": "199664667",
            "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": "2010-11-05",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A",
        "authorized_official_last_name": "AUKAMP",
        "authorized_official_first_name": "ARLEEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "302-451-6913"
    },
    "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": "DE",
            "license": null,
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "DE",
            "license": null,
            "primary": false
        },
        {
            "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": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "DE",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "DE",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0848032000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNION LABOR LIFE INSURANCE COMPANY",
            "identifier": "510370286",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ONE NET PPO, MAMSI, OPTIMUM CHOICE, M.D. IPA",
            "identifier": "510370286",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORVEL / CORCARE",
            "identifier": "510370286",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET TRICARE / CHAMPUS",
            "identifier": "510370286",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTHCARE",
            "identifier": "1030265",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "510370286",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000633502",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF DELAWARE",
            "identifier": "510343207",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EASTERN SUSSEX PHYSICIANS ORGANIZATION",
            "identifier": "510370286",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "510370286",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERDUE FARMS, INC.",
            "identifier": "510370286",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "510370286",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY HEALTHCARE OF DELAWARE",
            "identifier": "510370286",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEVON HEALTH SERVICES",
            "identifier": "510370286",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREAT WEST HEALTHCARE",
            "identifier": "510370286",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON HEALTH PLAN",
            "identifier": "204885",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orthopaedic Associates of Southern Delaware",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Millsboro, DE

Sources for this page

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.