Alex B Bodenstab (NPI# 1104806025, PAC ID# 5395718936) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1104806025 |
| PAC ID by PECOS | 5395718936 |
| Professional Enrollment ID | I20100122000271 |
| Full Name | Alex B Bodenstab |
| Organization Legal Name | FIRST STATE ORTHOPAEDICS PA |
| Address |
1401 Foulk Rd Wilmington DE 19803-2734 |
| Phone Number | 3027312888 |
| Gender | M |
| Medical School | JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY |
| Graduation Year | 1977 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 6103800057 |
| Number of Group Practice Members | 56 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 080001 | CHRISTIANA HOSPITAL |
| 080007 | BEEBE MEDICAL CENTER |
| 310091 | MEMORIAL HOSPITAL OF SALEM COUNTY |
| 080004 | BAYHEALTH HOSPITAL, KENT CAMPUS |
| Address | Phone | Organization |
|---|---|---|
| 1401 Foulk Rd, Wilmington, DE 19803-2734 | 3027312888 | FIRST STATE ORTHOPAEDICS PA |
| Organization Legal Name | FIRST STATE ORTHOPAEDICS PA |
| Physicians | 59 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anthony C Falvello | Orthopedic Surgery | First State Orthopaedics Pa | 285 Beiser Blvd, Suite 201, Dover, DE 19904-7801 |
| Gita Pillai | Orthopedic Surgery | First State Orthopaedics Pa | 17005 Old Orchard Rd, Lewes, DE 19958-4828 |
| Stephen Gordon Manifold | Orthopedic Surgery | First State Orthopaedics Pa | 1005 Mattlind Way, Milford, DE 19963-5369 |
| Todd Miller | Physician Assistant | First State Orthopaedics Pa | 4051 Ogletown Stanton Rd, Suite 103, Newark, DE 19713 |
| Claire A Coggins | Diagnostic Radiology | First State Orthopaedics Pa | 1000 Twin C Ln, Suite 100, Newark, DE 19713-2140 |
| Roman Christopher Orsini | Podiatry | First State Orthopaedics Pa | 1539 Savannah Rd, Suite 203, Lewes, DE 19958-1674 |
| Dale F Sutherland | Pain Management | First State Orthopaedics Pa | 17015 Old Orchard Rd, Suite 2, Lewes, DE 19958-4849 |
| James Moran | Interventional Pain Management | First State Orthopaedics Pa | 4102 Stanton Ogletown Rd, Suite B, Newark, DE 19713 |
| Bonnie O O Connor | Physician Assistant | First State Orthopaedics Pa | 4051 Ogletown Stanton Rd, Suite 103, Newark, DE 19713 |
| Paula Smith | Physician Assistant | First State Orthopaedics Pa | 4745 Ogletown Stanton Rd, Suite 238, Newark, DE 19713-2074 |
| Street Address |
1401 FOULK RD |
| City | WILMINGTON |
| State | DE |
| Zip | 19803-2734 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Danielle Press | General Surgery | Christiana Care Health Services Inc | 1401 Foulk Rd, Suite 207, Wilmington, DE 19803-2764 |
| Jonathan Joseph Romak | Otolaryngology | Ent and Allergy of Delaware LLC | 1401 Foulk Rd, Suite 205, Wilmington, DE 19803-2764 |
| Mark G Cadungog | Gynecological Oncology | Christiana Care Health Services Inc | 1401 Foulk Rd, Wilmington, DE 19803-2764 |
| Paul M Imber | Otolaryngology | Ent and Allergy of Delaware LLC | 1401 Foulk Rd, Suite 205, Wilmington, DE 19803-2764 |
| Mary M Stephens | Family Medicine | Christiana Care Health Services Inc | 1401 Foulk Rd, Suite 100b, Wilmington, DE 19803-2764 |
| Travis Deputy | Qualified Audiologist | Ent and Allergy of Delaware LLC | 1401 Foulk Rd, Suite 205, Wilmington, DE 19803-2764 |
| Cathleen Marie Schriver | Qualified Speech Language Pathologist | Ent and Allergy of Delaware LLC | 1401 Foulk Rd, Suite 205, Wilmington, DE 19803-2764 |
| Matthew M O Brien | Family Medicine | 1401 Foulk Rd, Suite 202, Wilmington, DE 19803-2764 | |
| William Macon Sheppard | Otolaryngology | Ent and Allergy of Delaware LLC | 1401 Foulk Rd, Suite 205, Wilmington, DE 19803-2764 |
| Alyssa M Hancock | Nurse Practitioner | Christiana Care Health Services Inc | 1401 Foulk Rd, Suite 100b, Wilmington, DE 19803-2764 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Pamela L Calvert-hirt | Psychologist, Clinical | 4601 Concord Pike, Rm 104, Wilmington, DE 19803-1406 | |
| Pamela D Stearn | Clinical Social Worker | Jewish Family Services of Delaware | 99 Passmore Dr, Wilmington, DE 19803-1548 |
| Sally Packard | Clinical Social Worker | Jewish Family Services of Delaware | 99 Passmore Dr, Wilmington, DE 19803-1548 |
| Mariann Wolskee | Clinical Social Worker | Jewish Family Services of Delaware | 99 Passmore Dr, Wilmington, DE 19803-1548 |
| Stefanie S Ferraro | Nurse Practitioner | Jewish Family Services of Delaware | 99 Passmore Dr, Wilmington, DE 19803-1548 |
| Sarah T Robins | Clinical Social Worker | Jewish Family Services of Delaware | 99 Passmore Dr, Wilmington, DE 19803-1548 |
| Terrilyn Hickman-allen | Clinical Social Worker | Jewish Family Services of Delaware | 99 Passmore Dr, Wilmington, DE 19803-1548 |
| Sophie M Namugenyi | Clinical Social Worker | Jewish Family Services of Delaware | 99 Passmore Dr, Wilmington, DE 19803-1548 |
| Timothy M Murphy | Occupational Therapy | Dynamic Therapy Services LLC | 3401 Brandywine Pkwy, Suite 201, Wilmington, DE 19803-1554 |
| Matthew Petruccelli | Physical Therapy | Dynamic Therapy Services LLC | 3401 Brandywine Pkwy, Suite 201, Wilmington, DE 19803-1554 |
| Find all physicians in zip 19803 | |||
| City | WILMINGTON |
| Zip Code | 19803 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | WILMINGTON + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Alex B Bodenstab.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.