Organization Active NPI

First State Orthopaedics, PA

  • Orthopaedic Surgery Physician
  • Wilmington, DE
National Provider Identifier
1821524182
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
FIRST STATE ORTHOPAEDICS, PA
Practice address
5317 Limestone Rd BLDG Suite104
Wilmington, DE 19808-1252
Phone
(302) 731-2888
Fax
(302) 731-7049
NPI assigned
May 5, 2017
Organization subpart
Yes
Parent organization
FIRST STATE ORTHOPAEDICS, PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X DE Primary

Addresses

Primary practice location

5317 Limestone Rd BLDG Suite104
Wilmington, DE 19808-1252

Mailing address

211 Executive Dr
Suite 11
Newark, DE 19702-3358
Phone (302) 731-2888

Other identifiers 1

IdentifierTypeStateIssuer
82302MedicaidDE

National Provider Directory

National Provider Directory
Part of
First State Orthopaedics PA

Locations

5317 Limestone Rd
Ste 104
Wilmington, DE 19808

NPI Registry JSON

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

{
    "created_epoch": "1493942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1821524182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 EXECUTIVE DR",
            "address_2": "SUITE 11",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197023358",
            "telephone_number": "302-731-2888",
            "fax_number": "302-731-7049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5317 LIMESTONE RD BLDG SUITE104",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198081252",
            "telephone_number": "302-731-2888",
            "fax_number": "302-731-7049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST STATE ORTHOPAEDICS, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FIRST STATE ORTHOPAEDICS, PA",
        "enumeration_date": "2017-05-05",
        "last_updated": "2022-07-21",
        "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": "DE",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "82302",
            "state": "DE"
        }
    ],
    "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 Jul 21, 2022; 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.