PENINSULA ORTHOPAEDIC ASSOCIATES, PA (NPI# 1255733705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255733705 |
| Entity Type | Organization |
| Organization Name | PENINSULA ORTHOPAEDIC ASSOCIATES, PA |
| Practice Address |
300265 Commerce Drive Suite 104 Millsboro DE 19966 |
| Mailing Address |
1675 Woodbrooke Dr Salisbury MD 21804-8502 |
| Practice Telephone | 4107494154 |
| Practice Fax Number | 4108609583 |
| Mailing Telephone | 4107494154 |
| Mailing Fax Number | 4108609583 |
| Enumeration Date | 2014-09-16 |
| Last Update Date | 2014-09-16 |
| Authorized Official Name | THOMAS BRANDON (PRESIDENT) |
| Authorized Official Telephone | 4107494154 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
Allopathic & Osteopathic Physicians | ||
| N | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207XX0801X |
Orthopaedic Surgery Specialization: Orthopaedic Trauma |
Allopathic & Osteopathic Physicians | ||
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053621615 | Peninsula Orthopaedic Associates, Pa | Durable Medical Equipment & Medical Supplies | 6503 Deer Pointe Drive, Suite B, Salisbury, MD 21804 | 2010-10-18 |
| Street Address |
300265 COMMERCE DRIVE SUITE 104 |
| City | MILLSBORO |
| State | DE |
| Zip Code | 19966 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376178459 | Ashkan Ashkani | Physical Therapist | Back Bay Area Park Center, 26396 Bay Farm Rd, Unit #1, Millsbro, DE 19966 | 2020-03-09 |
| 1962053330 | Ryan P Tezak | Physical Therapist | 30166 Commerce Dr, Millsboro, DE 19966 | 2019-09-26 |
| 1598222390 | Benchmark Physical Therapy of Delaware LLC | Occupational Therapist | 30166 Commerce Drive, Millsboro, DE 19966 | 2019-02-27 |
| 1285106591 | Coastal Counseling | Clinic/Center | 5 Chelsea Square, Millsboro, DE 19966 | 2018-12-27 |
| 1780165175 | La Red Health Center, Inc. | Clinic/Center | 26089 Long Neck Road, Millsboro, DE 19966 | 2018-08-24 |
| 1740774215 | Melissa Alyanna Gorospe Lasig | Physical Therapist | 2315 Washington Street, Millsboro, DE 19966 | 2018-06-19 |
| 1205344728 | Rehabilitation Consultants, Inc. | Clinic/Center | 36932 Silicato Drive, Suite 5, Millsboro, DE 19966 | 2018-01-18 |
| 1073044095 | Swapna Bhupathi | Physical Therapist | Atlantic Shore Rehab and Health Center, 231 S Washington Street, Millsboro, DE 19966 | 2017-03-22 |
| 1447618178 | Ashley Deering | Physical Therapy Assistant | 20383 Charlotte Blvd, Millsboro, DE 19966 | 2016-02-09 |
| 1073971537 | Jennifer Noonan | Registered Nurse | 34141 Minnow Lane, Long Neck, DE 19966 | 2016-01-29 |
| Find all providers in zip 19966 | ||||
| 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 |
|---|---|---|---|---|
| 1851929814 | Delaware Orthopaedic Consultants, LLC | Orthopaedic Surgery | 1320 Middleford Rd Ste 203, Seaford, DE 19973-3649 | 2020-03-27 |
| 1295218931 | First State Orthopaedics, Pa | Orthopaedic Surgery | 17015 Old Orchard Rd Unit 2, Lewes, DE 19958-4849 | 2018-09-10 |
| 1508376518 | First State Orthopaedics, Pa | Orthopaedic Surgery | 285 Beiser Blvd, Ste 201, Dover, DE 19904 | 2017-10-04 |
| 1821526781 | Lewes Spine Center LLC | Orthopaedic Surgery | 18947 John J Williams Hwy Bldg Unit311, Rehoboth Beach, DE 19971-4474 | 2017-05-23 |
| 1821524182 | First State Orthopaedics, Pa | Orthopaedic Surgery | 5317 Limestone Rd Bldg Suite104, Wilmington, DE 19808-1252 | 2017-05-05 |
| 1073069043 | Regional Orthopaedic Associates Pa | Orthopaedic Surgery | 3401 Brandywine Pkwy Ste 100, Wilmington, DE 19803-1554 | 2016-08-30 |
| 1508249491 | Chesapeake Bay Orthopedics, PC | Orthopaedic Surgery | 1340 Middleford Rd Ste 403, Seaford, DE 19973-3665 | 2015-07-09 |
| 1811317845 | Omkar R Baxi | Orthopaedic Surgery | 12100 Black Swan Dr Ste 201, Lewes, DE 19958-4991 | 2014-04-17 |
| 1437415262 | Craig Smucker Md Orthopaedics PC | Orthopaedic Surgery | 1101 Oakland Ct, Newark, DE 19711-3450 | 2012-04-05 |
| 1720211220 | Concord Health and Rehabilitation | Orthopaedic Surgery | 1010 Concord Ave Ste 101, Wilmington, DE 19802-3366 | 2009-08-31 |
| Find all providers with the same taxonomy | ||||
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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.