Organization Active NPI

Delaware Anesthesia Associates, PA

  • Anesthesiology Physician
  • Lewes, DE
National Provider Identifier
1578618930
Registry record updated Nov 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
DELAWARE ANESTHESIA ASSOCIATES, PA
Practice address
424 Savannah Rd
Lewes, DE 19958-1462
Phone
(302) 645-3580
NPI assigned
Jan 24, 2007
Last updated
Nov 6, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2008

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

Authorized official

Name
Stephani Allison, MDNPI 1629187539
Title
Corporate Partner
Phone
(302) 645-3580

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X NU Primary

Addresses

Primary practice location

424 Savannah Rd
Lewes, DE 19958-1462

Mailing address

PO Box 719
Lewes, DE 19958-0719
Phone (302) 645-3580

Other identifiers 1

IdentifierTypeStateIssuer
0000633002MedicaidDE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040719000033 DE Part B Supplier - Clinic/Group Practice 6305825894 Receives reassigned benefits from 45 practitioners
Practice locations: Lewes, DE; Rehoboth Beach, DE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 64

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.

View all 64

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225929600000",
    "number": "1578618930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 719",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199580719",
            "telephone_number": "302-645-3580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 SAVANNAH RD",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199581462",
            "telephone_number": "302-645-3580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELAWARE ANESTHESIA ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2008-11-06",
        "status": "A",
        "authorized_official_last_name": "ALLISON",
        "authorized_official_first_name": "STEPHANI",
        "authorized_official_title_or_position": "CORPORATE PARTNER",
        "authorized_official_telephone_number": "302-645-3580",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000633002",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewes, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.