Active NPI
Christiana Spine, PA
- Orthopaedic Surgery of the Spine Physician
- Newark, DE
National Provider Identifier
1851307342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery of the Spine Physician
- Legal business name
- CHRISTIANA SPINE, PA
- Practice address
- 4735 Ogletown Stanton Rd
Ste 3302
Newark, DE 19713 - Phone
- (302) 623-4144
- Fax
- (302) 623-4289
- NPI assigned
- Aug 1, 2006
- 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
- Lauren Myers
- Title
- Office Manager
- Phone
- (302) 623-4161
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | Primary |
Addresses
Primary practice location
4735 Ogletown Stanton Rd
Ste 3302
Newark, DE 19713
Mailing address
4735 Ogletown Stanton Rd
Ste 3302
Newark, DE 19713
Phone (302) 623-4144
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 207X00000X | Medicaid | DE | |
| 2291480 | Other | AETNA/USHC | |
| 720356 | Other | PERSONAL CHOICE | |
| CB6441 | Other | RAILROAD MEDICARE | |
| 5103889378 | Other | DE | BLUE CROSS BLUE SHIELD |
| 77069000 | Other | AMERIHEALTH/KEYSTONE |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Wilmington, DE
- NPI 1144543471
-
- Specialist
- Newark, DE
- NPI 1518962497
-
- Physician Assistant
- Newark, DE
- NPI 1194720672
-
- Surgical Physician Assistant
- Wilmington, DE
- NPI 1023088333
-
- Orthopaedic Surgery of the Spine Physician
- Rehoboth Beach, DE
- NPI 1346415411
-
- Surgical Physician Assistant
- Exton, PA
- NPI 1548265432
-
- Nurse Practitioner
- Whiteville, NC
- NPI 1841354560
-
- Orthopaedic Surgery of the Spine Physician
- Torrance, CA
- NPI 1396856894
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1541721600000",
"number": "1851307342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4735 OGLETOWN STANTON RD",
"address_2": "STE 3302",
"city": "NEWARK",
"state": "DE",
"postal_code": "19713",
"telephone_number": "302-623-4144",
"fax_number": "302-623-4289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4735 OGLETOWN STANTON RD",
"address_2": "STE 3302",
"city": "NEWARK",
"state": "DE",
"postal_code": "19713",
"telephone_number": "302-623-4144",
"fax_number": "302-623-4289"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHRISTIANA SPINE, PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-01",
"last_updated": "2018-11-09",
"status": "A",
"authorized_official_last_name": "MYERS",
"authorized_official_first_name": "LAUREN",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "302-623-4161"
},
"taxonomies": [
{
"code": "207XS0117X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "207X00000X",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA/USHC",
"identifier": "2291480",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PERSONAL CHOICE",
"identifier": "720356",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CB6441",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "5103889378",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH/KEYSTONE",
"identifier": "77069000",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.