Organization Active NPI

Stephen R. Pittman, DPM PA

  • Foot & Ankle Surgery Podiatrist
  • Newark, DE
National Provider Identifier
1922282235
Registry record updated Jul 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E1-0000070 Issued in DE
Legal business name
STEPHEN R. PITTMAN, DPM PA
Practice address
410 Christiana Medical Ctr
Newark, DE 19702-1654
Phone
(302) 368-5000
Fax
(302) 368-9026
NPI assigned
Dec 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2010

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

Authorized official

Name
Dr. Stephen R. Pittman, DPM PA, DPM
Title
President
Phone
(302) 368-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X E1-0000070 DE Primary

Addresses

Primary practice location

410 Christiana Medical Ctr
Newark, DE 19702-1654

Mailing address

410 Christiana Medical Ctr
Newark, DE 19702-1654
Phone (302) 368-5000

Other identifiers 8

IdentifierTypeStateIssuer
177118OtherUNITED HEALTH CARE
35024901OtherBS MARYLAN
4368618OtherAETNA
0000148350MedicaidDE
512066757OtherBS DELAWARE
210674OtherALLIANCE
1466337OtherCIGNA
210674OtherOPTIMUM CHOICE

National Provider Directory

National Provider Directory

Locations

410 Christiana Medical Ctr
Newark, DE 19702
Phone (302) 261-6346

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1198195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280188800000",
    "number": "1922282235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 CHRISTIANA MEDICAL CTR",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197021654",
            "telephone_number": "302-368-5000",
            "fax_number": "302-368-9026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 CHRISTIANA MEDICAL CTR",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197021654",
            "telephone_number": "302-368-5000",
            "fax_number": "302-368-9026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN R. PITTMAN, DPM PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-21",
        "last_updated": "2010-07-27",
        "status": "A",
        "authorized_official_last_name": "PITTMAN, DPM PA",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "302-368-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "DE",
            "license": "E1-0000070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "177118",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS MARYLAN",
            "identifier": "35024901",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4368618",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000148350",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS DELAWARE",
            "identifier": "512066757",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALLIANCE",
            "identifier": "210674",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1466337",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMUM CHOICE",
            "identifier": "210674",
            "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 Jul 27, 2010; 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.