Active NPI
Mid-Atlantic Surgical Practice
- Surgery Physician
- Wilmington, DE
National Provider Identifier
1477007797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- MID-ATLANTIC SURGICAL PRACTICE
- Practice address
- 1500 Shallcross Ave
Suite 1-a
Wilmington, DE 19806-3037 - Phone
- (302) 652-6050
- Fax
- (302) 652-6053
- NPI assigned
- Aug 4, 2016
- Last updated
- Aug 17, 2016
- Organization subpart
- Yes
- Parent organization
- MID-ATLANTIC SURGICAL PRACTICE
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James Joseph Tayoun Jr., D.O.
- Title
- Physican
- Phone
- (302) 652-6050
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
1500 Shallcross Ave
Suite 1-a
Wilmington, DE 19806-3037
Mailing address
PO Box 8157
Wilmington, DE 19803-8157
Phone (302) 652-6050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1000035769 | Medicaid | DE |
National Provider Directory
National Provider Directory- Part of
- Mid-Atlantic Surgical Prac
Locations
1500 Shallcross Ave
Ste 1A
Wilmington, DE 19806
Phone (302) 407-2457
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470268800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1471392000000",
"number": "1477007797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8157",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198038157",
"telephone_number": "302-652-6050",
"fax_number": "302-652-6053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 SHALLCROSS AVE",
"address_2": "SUITE 1-A",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198063037",
"telephone_number": "302-652-6050",
"fax_number": "302-652-6053"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MID-ATLANTIC SURGICAL PRACTICE",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MID-ATLANTIC SURGICAL PRACTICE",
"enumeration_date": "2016-08-04",
"last_updated": "2016-08-17",
"status": "A",
"authorized_official_last_name": "TAYOUN",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "JOSEPH",
"authorized_official_title_or_position": "PHYSICAN",
"authorized_official_telephone_number": "302-652-6050",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1000035769",
"state": "DE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, DE
- Mid Atlantic Prosthetics and Orthotics North
- Mid Atlantic Surgical LLC
- Mid-Atlantic Dental Partners Delaware II Professional Associates (Gentle Touch Smiles for Kids)
- Mid-Atlantic Dental Partners Delaware Professional Association
- Mid-Atlantic Pain Institute, P.a. (Mid Atlantic Spine)
- Shanna Midgley, APRN
- Molly C Miersch, PT
- Joanna R. Migliore
- Kristina Migliore
- Sarah Mihaly
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.