Mid Atlantic Surgical LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

MID ATLANTIC SURGICAL LLC

Practice address

1500 Shallcross Ave
Ste 1 a
Wilmington, DE 19806-3037

Phone

(302) 652-6050

Fax

(302) 652-6053

NPI assigned

Jul 28, 2006

Organization subpart

No

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

Authorized official

Name

Nora Truscello

Title

Practice Manager

Phone

(302) 652-6050

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mid Atlantic Surgical LLC Doing business as

Locations

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452211200000",
    "number": "1528072501",
    "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": "STE 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 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2016-01-08",
        "status": "A",
        "authorized_official_last_name": "TRUSCELLO",
        "authorized_official_first_name": "NORA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "302-652-6050"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000035769",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mid Atlantic Surgical LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Theodore W. Michell, D.O.
• Michelle C. Johnson L.C.S.W.
• Laura Michelli
• Michael Michelli, AU.D.
• Mid Atlantic Prosthetics and Orthotics North
• Mid-Atlantic Dental Partners Delaware II Professional Associates
• Mid-Atlantic Dental Partners Delaware Professional Association
• Mid-Atlantic Pain Institute, P.a.
• Mid-Atlantic Surgical Practice
• Shanna Midgley, APRN

• All providers in Wilmington, DE
• Surgery Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.

Verify at the official NPI Registry.