# FIRST STATE ORTHOPAEDICS PA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FIRST STATE ORTHOPAEDICS PA
- **Other names:** Orthopaedic Associates of Southern Delaware
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1386945442
- **Legal business name:** FIRST STATE ORTHOPAEDICS PA
- **Authorized official:** ARLEEN A AUKAMP (CREDENTIALING MANAGER)
- **Authorized official phone:** (302) 451-6913

## Contact information

- **Practice address:** 26744 JOHN J WILLIAMS HWY, SUITE 4, MILLSBORO, DE 19966-4667
- **Practice address phone:** (302) 644-3311
- **Practice address fax:** (302) 644-3300
- **Mailing address:** 211 EXECUTIVE DR STE 11, NEWARK, DE 19702-3358
- **Mailing address phone:** (302) 731-2888
- **Mailing address fax:** (302) 731-7049

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | — |
| 207L00000X | Anesthesiology Physician | — | — | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | — |
| 207X00000X | Orthopaedic Surgery Physician | — | DE | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | DE | — |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |
| 2086S0105X | Surgery of the Hand (Surgery) Physician | — | NULL | — |
| 2086S0105X | Surgery of the Hand (Surgery) Physician | — | — | — |
| 213E00000X | Podiatrist | — | NULL | — |
| 213E00000X | Podiatrist | — | — | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | DE | — |
| 363A00000X | Physician Assistant | — | DE | — |

## Other

- **Enumeration date:** 11/05/2010
- **Last updated:** 12/01/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0000633502 | — | DE |
| 01 | — | 0848032000 | AMERIHEALTH | — |
| 01 | — | 1030265 | AETNA US HEALTHCARE | — |
| 01 | — | 204885 | UNISON HEALTH PLAN | — |
| 01 | — | 510343207 | BLUE CROSS BLUE SHIELD OF DELAWARE | — |
| 01 | — | 510370286 | UNION LABOR LIFE INSURANCE COMPANY | — |
