Spine Care Delaware, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SPINE CARE DELAWARE, LLC

Practice address

4102 Ogletown Stanton Rd Ste B
Newark, DE 19713-4183

Phone

(302) 894-1900

Fax

(302) 894-0264

NPI assigned

Jan 18, 2006

Last updated

Aug 5, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bonnie O Oconnor, PA-CNPI 1033199948

Title

Administrator

Phone

(302) 894-1903

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DE

Enrollment records 1

Listed as

Spine Care DelawareCCN 08C0001014

Medicare certification status

ActiveFrom the Provider of Services file

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bonnie O Oconnor, PA C

  • Surgical Physician Assistant
  • Newark, DE
  • NPI 1033199948
  NPD Authorized official
• James George Moran, DO

  • Physical Medicine & Rehabilitation Physician
  • Mount Laurel, NJ
  • NPI 1104806504
  NPD (past)

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785888000000",
    "number": "1407836315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4102 OGLETOWN STANTON RD",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197134183",
            "telephone_number": "302-894-1900",
            "fax_number": "302-894-0264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4102 OGLETOWN STANTON RD STE B",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197134183",
            "telephone_number": "302-894-1900",
            "fax_number": "302-894-0264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE CARE DELAWARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-18",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A",
        "authorized_official_last_name": "OCONNOR",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "302-894-1903",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric W Spencer
• Lori A Spencer, MD PHD
• Burkhard Spiekermann, MD
• Michael John Spina, M.D.
• Spine and Orthopedic Specialists (Advanced Rehabilitation)
• Malina Ree Spirito, PSY.D.
• Talia Elizabeth Spitelle
• Rickia Izetta Spivey-Kennedy, M.ED
• Kristin Splane, OTR/L
• Todd Spock, M.D.

• Ambulatory Surgical Clinic/Center in Newark, DE
• Providers in Newark, DE by specialty
• Ambulatory Surgical Clinic/Center in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.