DR. JEREMIE MICHAEL AXE (NPI# 1093979692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093979692 |
| Entity Type | Individual |
| Full Name | DR. JEREMIE MICHAEL AXE |
| Credential | M.D. |
| Practice Address |
4745 Ogletown Stanton Rd Ste 225 Newark DE 19713-2067 |
| Mailing Address |
211 Executive Dr Ste 11 Newark DE 19702-3358 |
| Practice Telephone | 3027312888 |
| Practice Fax Number | 3027317049 |
| Mailing Telephone | 3027312888 |
| Mailing Fax Number | 3027317049 |
| Enumeration Date | 2008-07-12 |
| Last Update Date | 2019-06-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | C1-0010957 | DE | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | 258218 | MA | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | 236968 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DE | DE STATE LICENSE | C1-0010957 | 01 |
| DE | 1093979692 | 05 |
| Street Address |
4745 OGLETOWN STANTON RD STE 225 |
| City | NEWARK |
| State | DE |
| Zip Code | 19713-2067 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831194224 | Mehdi Balakhani | Specialist | 4745 Ogletown Stanton Rd, Map #1, Suite 226, Newark, DE 19713-2067 | 2005-06-14 |
| 1912439829 | Dirm Surgery Center | Clinic/Center | 4745 Ogletown Stanton Rd, Suite 117, Newark, DE 19713-2067 | 2017-03-30 |
| 1821548025 | Danielle M Corsi | Registered Nurse | 4745 Ogletown Stanton Rd, Map 1, Suite 217, Newark, DE 19713-2067 | 2016-10-12 |
| 1386194116 | Sooin Lee | Nurse Practitioner | 4745 Ogletown Stanton Rd, Map 1, Suite 217, Newark, DE 19713-2067 | 2016-10-05 |
| 1023564499 | Hosmane Eye Care LLC | Optometrist | 4745 Ogletown Stanton Rd, Pavillion 1, Suite 135, Newark, DE 19713-2067 | 2016-08-26 |
| 1407202807 | Lisa Wei Schmidt | Physician Assistant | 4745 Ogletown Stanton Rd, Ste 225, Newark, DE 19713-2067 | 2016-05-04 |
| 1619341328 | Keri Ann E. Flanagan | Registered Nurse | 4745 Ogletown Stanton Rd, Map 1, Suite 217, Newark, DE 19713-2067 | 2015-11-18 |
| 1124496807 | Kaysha P Michel | Registered Nurse | 4745 Ogletown Stanton Rd, Suite 220, Newark, DE 19713-2067 | 2015-09-11 |
| 1376922799 | Chanhsamone Syravanh | Physician Assistant | 4745 Ogletown Stanton Rd, Medical Arts Pavilion 1, Suite 135, Hosmane Cardiology, Newark, DE 19713-2067 | 2015-05-19 |
| 1548652704 | Kristin M Fawcett | Nurse Practitioner | 4745 Ogletown Stanton Rd, Suite 217, Newark, DE 19713-2067 | 2015-02-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518574490 | Stacie Guyton | Nurse Practitioner | 4501 Ogletown Stanton Road, Newark, DE 19713 | 2020-09-25 |
| 1225674633 | Michael Francis Stant | Specialist/Technologist | Delaware Field House, 617 South College Avenue Rm 111b, Newark, DE 19713 | 2019-11-20 |
| 1528559457 | Sarah Mun | Physician Assistant | 4755 Ogletown Stanton Rd, Newark, DE 19713 | 2018-05-26 |
| 1568983286 | Clarice Wanisku Kariuki | Licensed Practical Nurse | 15 Prestbury Square, Suite 14, Nweark, DE 19713 | 2017-07-03 |
| 1679029870 | Auxilia Akala | Nurse Practitioner | 1082 Churchmans Rd, Newrk, DE 19713 | 2016-08-28 |
| 1003369851 | Yawar Abbas | Psychiatry & Neurology | Rockford Center, 100 Rockford Dr, Newark, DE 19713 | 2016-07-28 |
| 1700245925 | Debra Hutz | Counselor | 25 Omega Dr., Professional Center #j, Newark, DE 19713 | 2016-02-16 |
| 1376918201 | Aquiles Igleisias | Speech-Language Pathologist | 540 South College Avenue, Newark, DE 19713 | 2015-12-03 |
| 1639547359 | Kylee Rose | Social Worker | 901 S. Chapel Street, Newark, DE 19713 | 2015-09-11 |
| 1932503976 | Kathleen Madara | Physical Therapist | 540 S College Ave, Suite 210, University of Delaware, Newark, DE 19713 | 2014-10-20 |
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| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437415262 | Craig Smucker Md Orthopaedics PC | Orthopaedic Surgery | 1101 Oakland Ct, Newark, DE 19711-3450 | 2012-04-05 |
| 1508019399 | Rochester General Hospital | Orthopaedic Surgery | 1204 Driving Park Ave, Newark, NY 14513-1057 | 2008-10-24 |
| 1477727014 | Jerry Lee Case | Orthopaedic Surgery | 430 Christiana Medical Ctr, Newark, DE 19702-1654 | 2008-04-15 |
| 1235203258 | First State Orthopaedics Pa | Orthopaedic Surgery | 4745 Ogletown-stanton Rd, Suite 238, Newark, DE 19713 | 2006-11-20 |
| 1558379412 | Main Surgical Co | Orthopaedic Surgery | 84 Broadway, Newark, NJ 07104 | 2006-08-04 |
| 1245244102 | Alan M Larimer | Orthopaedic Surgery | 560 Queens Dr S, Newark, OH 43055-2214 | 2006-07-28 |
| 1346218997 | George Dean Macewen | Orthopaedic Surgery | 15 Omega Dr, Building K, Newark, DE 19713-2057 | 2006-03-09 |
| 1679553580 | David T Sowa | Orthopaedic Surgery | 4051 Ogletown Rd Ste 103, Newark, DE 19713 | 2006-01-18 |
| 1376537746 | Dai Ok Moon | Orthopaedic Surgery | C-83 Omega Drive, Newark, DE 19713 | 2005-08-31 |
| 1457356586 | Christopher D Casscells | Orthopaedic Surgery | 2600 Glasgow Ave., Suite 104, Newark, DE 19702-5703 | 2005-06-16 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.