SPINE CARE DELAWARE, LLC (NPI# 1407836315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407836315 |
| Entity Type | Organization |
| Organization Name | SPINE CARE DELAWARE, LLC |
| Practice Address |
4102 Ogletown - Stanton Rd Newark DE 19713 |
| Practice Telephone | 3028941900 |
| Practice Fax Number | 3028940264 |
| Mailing Telephone | 3028941900 |
| Mailing Fax Number | 3027376801 |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2018-04-17 |
| Authorized Official Name | BONNIE O'CONNOR (ADMINISTRATOR) |
| Authorized Official Telephone | 3028941900 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | 1999209751 | DE | Ambulatory Health Care Facilities |
| N | 261Q00000X | Clinic/Center | DE | Ambulatory Health Care Facilities | |
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Street Address |
4102 OGLETOWN - STANTON RD |
| City | NEWARK |
| State | DE |
| Zip Code | 19713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902970916 | First State Orthopaedics Pa | Orthopaedic Surgery | 4102 Ogletown - Stanton Rd, Suite B, Newark, DE 19713 | 2006-11-20 |
| 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 |
| Find all providers in zip 19713 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194285031 | Riverside Surgical Center of Newark, LLC | Clinic/Center | 393 Mulberry St, Newark, NJ 07102-3417 | 2019-03-25 |
| 1639561293 | Mulberry Ambulatory Surgical Center, LLC | Clinic/Center | 393-397 Mulberry Street, Newark, NJ 07012-3417 | 2015-02-19 |
| 1538466453 | Premier Surgical Pavilion, LLC | Clinic/Center | 145 Roseville Ave, Newark, NJ 07107-1618 | 2011-02-13 |
| 1275774747 | Christiana Spine Ambulatory Surgical Center, LLC | Clinic/Center | 1101 Twin C Lane, Suite 102, Newark, DE 19713 | 2009-03-13 |
| 1538389812 | Ironbound Endosurgical Center, Inc | Clinic/Center | 24-28 Merchant Street, Newark, NJ 07105-2847 | 2007-04-27 |
| 1508839473 | Newark Endoscopy Asc LLC | Clinic/Center | 1090 Old Churchmans Rd, Newark, DE 19713-2102 | 2006-02-09 |
| 1508846411 | First State Surgery Center, LLC | Clinic/Center | 1000 Twin C Lane, Suite 200, Newark, DE 19713 | 2006-01-18 |
| 1497751747 | Mid-atlantic Endoscopy Center, LLC | Clinic/Center | 4923 Ogletown Stanton Rd, Ste 100, Newark, DE 19713-2081 | 2005-06-22 |
| 1518383512 | Lexington Foot and Ankle Center PC | Clinic/Center | 145 Roseville Ave, Newark, NJ 07107-1618 | 2014-03-14 |
| 1427361088 | Surgery Centers of Delmarva, LLC | Clinic/Center | 100 Biddle Ave, Suite 110, Newark, DE 19702-3981 | 2010-07-23 |
| Find all providers in NEWARK | ||||
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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.