Sussex Surgical PA

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

C10004841 Issued in DE

Legal business name

SUSSEX SURGICAL PA

Practice address

1340 Middleford Rd
Suite 401
Seaford, DE 19973-3665

Phone

(302) 629-3600

Fax

(302) 629-3744

NPI assigned

Jul 13, 2006

Organization subpart

No

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

Authorized official

Name

Francisco Rodriguez, M.D.

Title

Owner

Phone

(302) 629-3600

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234828800000",
    "number": "1639195969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 MIDDLEFORD RD",
            "address_2": "SUITE 401",
            "city": "SEAFORD",
            "state": "DE",
            "postal_code": "199733665",
            "telephone_number": "302-629-3600",
            "fax_number": "302-629-3744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 MIDDLEFORD RD",
            "address_2": "SUITE 401",
            "city": "SEAFORD",
            "state": "DE",
            "postal_code": "199733665",
            "telephone_number": "302-629-3600",
            "fax_number": "302-629-3744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSSEX SURGICAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2009-02-17",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "FRANCISCO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "302-629-3600",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "DE",
            "license": "C10004841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000739701",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Jane Sullivan, LPCMH
• Kimberly Ann Sullivan, P.A.
• Richard Sullivan, MSPT
• Uganda Sumner
• Sussex Montessori Charter School
• Darius S Sypek, MD
• Syracuse Physical Therapy Partners (Aquacare Physical Therapy)
• Clement Raymond Tajon, PT, DPT
• Michelle Yap Talag, APRN, FNP-C
• Elizabeth Tapper, SCHOOL PSYCHOLOGIST

• Surgery Physician in Seaford, DE
• Providers in Seaford, DE by specialty
• Surgery Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2009; 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.