Delaware Surgical Specialists, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

35061615 Issued in OH

Legal business name

DELAWARE SURGICAL SPECIALISTS, LLC

Practice address

90 E William St
Delaware, OH 43015-2149

Phone

(740) 363-1473

Fax

(740) 369-5718

NPI assigned

Oct 10, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Raymond Fuller, M.D.NPI 1356424899

Title

Owner

Phone

(740) 363-1473

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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.

• Raymond D. Fuller, M.D.

  • Surgery Physician
  • Delaware, OH
  • NPI 1356424899
  Authorized official Same address or phone

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760570402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 E WILLIAM ST",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430152149",
            "telephone_number": "740-363-1473",
            "fax_number": "740-369-5718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 E WILLIAM ST",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430152149",
            "telephone_number": "740-363-1473",
            "fax_number": "740-369-5718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELAWARE SURGICAL SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FULLER",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-363-1473",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "35061615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0165182",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Delaware Orthopedics & Sports Medicine Inc
• Delaware Podiatry Center LLC
• Delaware Radiation Oncology, Inc.
• Delaware Smile Center- Joseph W Papp DDS LLC (Delaware Smile Center)
• Delaware Speech & Hearing Center
• Delaware Union Educational Service Ctr
• Cassandre Delisca
• Patrick Delisca, LPN
• Christina M Delos Reyes, MD
• Holly Delzer

• Specialist in Delaware, OH
• Providers in Delaware, OH by specialty
• Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.