Organization
FIRST STATE ORTHOPAEDICS PA
Active
Parent organization
FIRST STATE ORTHOPAEDICS PA
Other names
Orthopaedic Associates of Southern Delaware
Organization subpart
Yes
Provider details
NPI number
Legal business name
FIRST STATE ORTHOPAEDICS PA
Authorized official
ARLEEN A AUKAMP (CREDENTIALING MANAGER)
(302) 451-6913
Entity
Organization
Contact information
Practice address
1539 SAVANNAH RD STE 203, BAYVIEW MEDICAL CENTER, LEWES, DE 19958-1674
(302) 644-3980
(302) 644-2804
Mailing address
211 EXECUTIVE DR STE 11, NEWARK, DE 19702-3358
(302) 731-2888
(302) 731-7049
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
213E00000X
Podiatrist
Primary
—
—
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000633502
—
DE
01
—
0848032000
AMERIHEALTH
—
01
—
1030265
AETNA US HEALTHCARE
—
01
—
204885
UNISON HEALTH PLAN
—
01
—
51-0343207
BLUE CROSS BLUE SHIELD OF DELAWARE
—
01
—
510370286
ONE NET PPO, MAMSI, OPTIMUM CHOICE, M.D. IPA
—
Enumeration date
09/05/2008
Last updated
11/08/2018
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