Active NPI
Stuart Septimus MD LLC
- Interventional Cardiology Physician
- Wilmington, DE
National Provider Identifier
1629312004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- C1-0002794
- Legal business name
- STUART SEPTIMUS MD LLC
- Practice address
- 2055 Limestone Rd
Ste 117
Wilmington, DE 19808-5536 - Phone
- (302) 992-9940
- Fax
- (302) 992-9983
- NPI assigned
- Nov 26, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stuart Septimus, MD
- Title
- Owner
- Phone
- (302) 992-9940
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | |||
| Interventional Cardiology Physician | 207RI0011X | C1-0002794 | DE | Primary |
Addresses
Primary practice location
2055 Limestone Rd
Ste 117
Wilmington, DE 19808-5536
Mailing address
307 Ruthar Dr
Newark, DE 19711-8016
Phone (302) 224-5678
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205844248 | Medicaid | DE | |
| 279051300 | Medicaid | MD |
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://api.platform.athenahealth.com/8771/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353888000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1353888000000",
"number": "1629312004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "307 RUTHAR DR",
"city": "NEWARK",
"state": "DE",
"postal_code": "197118016",
"telephone_number": "302-224-5678",
"fax_number": "302-224-2848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2055 LIMESTONE RD",
"address_2": "STE 117",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198085536",
"telephone_number": "302-992-9940",
"fax_number": "302-992-9983"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STUART SEPTIMUS MD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-11-26",
"last_updated": "2012-11-26",
"status": "A",
"authorized_official_last_name": "SEPTIMUS",
"authorized_official_first_name": "STUART",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "302-992-9940",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "DE",
"license": "C1-0002794",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1205844248",
"state": "DE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "279051300",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.