Nanticoke Surgical Associates, P.a.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

1989027203 Issued in DE

Legal business name

NANTICOKE SURGICAL ASSOCIATES, P.A.

Practice address

543 N Shipley St
Seaford, DE 19973-2339

Phone

(302) 629-8662

Fax

(302) 629-7661

NPI assigned

Jan 30, 2007

Organization subpart

No

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

Authorized official

Name

Stephen Daniel Cares, M.D.

Title

President

Phone

(302) 629-8662

Specialties & licenses 1

Addresses

Other identifiers 6

Locations

Practitioners 4

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

• Francisco Rodriguez, MD

  • Surgery Physician
  • Milford, DE
  • NPI 1942297890
  NPD (past)
• David L Crooks, MD

  • Surgery Physician
  • Williamsville, NY
  • NPI 1376615492
  NPD (past)
• Roy Smoot

  • Surgery Physician
  • Baltimore, MD
  • NPI 1124290085
  NPD (past)
• Victoria W Smoot, M.D.

  • Anesthesiology Physician
  • Baltimore, MD
  • NPI 1386687739
  NPD (past)

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1972649556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "543 N SHIPLEY ST",
            "city": "SEAFORD",
            "state": "DE",
            "postal_code": "199732339",
            "telephone_number": "302-629-8662",
            "fax_number": "302-629-7661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "543 N SHIPLEY ST",
            "city": "SEAFORD",
            "state": "DE",
            "postal_code": "199732339",
            "telephone_number": "302-629-8662",
            "fax_number": "302-629-7661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANTICOKE SURGICAL ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "CARES",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "302-629-8662",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "DE",
            "license": "1989027203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "99032",
            "state": "DE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000137502",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH HMO",
            "identifier": "0108680000",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CE2117",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH PERSONAL CHOI",
            "identifier": "487744",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDIPA",
            "identifier": "792499",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nanticoke Pharmacy LLC
• Nanticoke Podiatry PA
• Nanticoke Radiology, LLC
• Nanticoke River Physicians, LLC
• Nanticoke Senior Center
• Nanticoke Surgical Center LLC
• Kathleen E Naugle, CSW
• Kristin Nelson
• Tammy Newton-Tierno, CNM
• Rachel NG

• Surgery Physician in Seaford, DE
• Providers in Seaford, DE by specialty
• Surgery Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.