Organization Active NPI

Stellar Surgical

  • Surgery Physician
  • Dover, DE
National Provider Identifier
1467076059
Registry record updated Jul 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
STELLAR SURGICAL
Practice address
230 Beiser Blvd Ste 200
Dover, DE 19904-7792
Phone
(302) 505-0045
Fax
(888) 873-9653
NPI assigned
May 30, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2020

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

Authorized official

Name
Dr. Louis E Costa, DONPI 1679694723
Title
Owner
Phone
(302) 505-0045

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary
Medical Specialty Clinic/Center 261QM2500X

Addresses

Primary practice location

230 Beiser Blvd Ste 200
Dover, DE 19904-7792

Mailing address

142 Glenda Rd
Dover, DE 19901-4922

National Provider Directory

National Provider Directory

Locations

230 Beiser Blvd
Ste 200
Dover, DE 19904
Phone (302) 505-0045

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1590796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594771200000",
    "number": "1467076059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 GLENDA RD",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199014922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 BEISER BLVD STE 200",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199047792",
            "telephone_number": "302-505-0045",
            "fax_number": "888-873-9653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STELLAR SURGICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-30",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A",
        "authorized_official_last_name": "COSTA",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "302-505-0045",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2020; 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.