Active NPI
First State Orthopaedics, PA
- Orthopaedic Surgery Physician
- Milford, DE
National Provider Identifier
1710564877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- FIRST STATE ORTHOPAEDICS, PA
- Practice address
- 77 Milford Neck Rd Ste 101
Milford, DE 19963-6727 - Phone
- (302) 731-2888
- NPI assigned
- Mar 25, 2021
- Last updated
- Mar 25, 2021
- 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
- David Blaeuer
- Title
- Executive Director
- Phone
- (302) 731-2888
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | Primary | ||
| Orthopaedic Hand Surgery Physician | 207XS0106X | |||
| Orthopaedic Foot and Ankle Surgery Physician | 207XX0004X | |||
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | |||
| Orthopaedic Trauma Physician | 207XX0801X |
Addresses
Primary practice location
77 Milford Neck Rd Ste 101
Milford, DE 19963-6727
Mailing address
211 Executive Dr Ste 11
Newark, DE 19702-3358
Phone (302) 731-2888
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616630400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1616630400000",
"number": "1710564877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 EXECUTIVE DR STE 11",
"city": "NEWARK",
"state": "DE",
"postal_code": "197023358",
"telephone_number": "302-731-2888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 MILFORD NECK RD STE 101",
"city": "MILFORD",
"state": "DE",
"postal_code": "199636727",
"telephone_number": "302-731-2888"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FIRST STATE ORTHOPAEDICS, PA",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-25",
"last_updated": "2021-03-25",
"certification_date": "2021-03-04",
"status": "A",
"authorized_official_last_name": "BLAEUER",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "302-731-2888"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
},
{
"code": "207XS0106X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "207XX0004X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "207XX0005X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207XX0801X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Orthopaedic Trauma",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Milford, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.