PAUL A FEDALEN (NPI# 1538151741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538151741 |
| Entity Type | Individual |
| Full Name | PAUL A FEDALEN |
| Credential | MD |
| Practice Address |
540 S Governors Ave Suite 101a Dover DE 19904-3530 |
| Mailing Address |
640 S. State Street, Pob 3rd Floor Dover DE 19901 |
| Practice Telephone | 3027447980 |
| Practice Fax Number | 3027447989 |
| Mailing Telephone | 3024801688 |
| Mailing Fax Number | 3024809807 |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2018-01-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | C1-0007342 | DE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DE | 1000032899 | 05 |
| Street Address |
540 S GOVERNORS AVE SUITE 101A |
| City | DOVER |
| State | DE |
| Zip Code | 19904-3530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962407858 | Cynthia L Martin | Nurse Practitioner | 540 S Governors Ave, Ste 100, Dover, DE 19904-3530 | 2005-06-16 |
| 1720545536 | Bayhealth Medical Center, Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 540 S Governors Ave, Dover, DE 19904-3530 | 2019-02-28 |
| 1568829844 | Donna Elizabeth Eyler | Nurse Anesthetist, Certified Registered | 540 S Governors Ave, Dover, DE 19904-3530 | 2016-01-18 |
| 1093106478 | Bayhealth Neurosurgery | Nurse Practitioner | 540 S Governors Ave, Suite 100, Dover, DE 19904-3530 | 2015-02-06 |
| 1093106486 | Meghan Brynn Schepens | Nurse Practitioner | 540 S Governors Ave, Suite 100, Dover, DE 19904-3530 | 2015-02-06 |
| 1922427384 | Robert Charles Reinert IIi | Physician Assistant | 540 S Governors Ave, Suite 201, Dover, DE 19904-3530 | 2014-04-14 |
| 1033450192 | Volha Stepanovna Komar | Physician Assistant | 540 S Governors Ave, Suite 201, Dover, DE 19904-3530 | 2013-03-13 |
| 1003198177 | Jennifer Crouse | Speech-Language Pathologist | 540 S Governors Ave, Dover, DE 19904-3530 | 2011-09-15 |
| 1548574858 | Megan Stephanie Stallings | Physician Assistant | 540 S Governors Ave, Dover, DE 19904-3530 | 2010-07-28 |
| 1033342969 | Todd Brandt | Physician Assistant | 540 S Governors Ave, Dover, DE 19904-3530 | 2009-08-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215534318 | Stanford Community Development Corporation, Inc | Community Health Worker | 111 South West Street, Suite 5, Dover, DE 19904 | 2020-10-02 |
| 1770145120 | Cara May O'reilly | Nurse Practitioner | 540 S. Governors Ave, Ste 101a, Dover, DE 19904 | 2019-07-07 |
| 1639631716 | Victoria Louise Sisson | Physical Therapy Assistant | 301 South Banning Street, Dover, DE 19904 | 2019-04-05 |
| 1336603091 | Ashley Santana | Counselor | 32 West Lookerman Street, Suite #103, Dover, DE 19904 | 2019-01-28 |
| 1679059869 | Vicdania Home Services | Technician | 1019 South Govenors Avenue, Dover, DE 19904 | 2018-07-11 |
| 1295221372 | Pam Squared At Dover LLC | Rehabilitation Hospital | 1240 Mckee Road, Dover, DE 19904 | 2018-07-02 |
| 1871000869 | Ronald Allen Beard | Counselor | 44 Carver Road, Dover, DE 19904 | 2017-12-29 |
| 1508376518 | First State Orthopaedics, Pa | Orthopaedic Surgery | 285 Beiser Blvd, Ste 201, Dover, DE 19904 | 2017-10-04 |
| 1700325057 | Center At Eden Hill LLC | Skilled Nursing Facility | 300 Banning Street, Dover, DE 19904 | 2017-02-20 |
| 1811352826 | West Dover Dental, LLC | Dentist | 2 Greentree Drive, Dover, DE 19904 | 2015-12-17 |
| Find all providers in zip 19904 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831110402 | Robert L Harrell IIi | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 750 Central Avenue, Suite I, Dover, NH 03820-3434 | 2006-07-21 |
| 1518983147 | Daniel Marelli | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 540 S Governors Ave Ste 101a, Dover, DE 19904-3530 | 2006-07-15 |
| 1720545536 | Bayhealth Medical Center, Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 540 S Governors Ave, Dover, DE 19904-3530 | 2019-02-28 |
| 1164473070 | Gary Walter Szydlowski | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 540 S Governors Ave, Suite 101a, Dover, DE 19904-3530 | 2006-05-15 |
| 1598757700 | Jeffrey P Cirks | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 540 S Governors Ave, 101a, Dover, DE 19904-3530 | 2005-08-16 |
| 1780685677 | John Dana Mannion | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 540 S Governors Ave, Suite 101a, Dover, DE 19904-3530 | 2005-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003850504 | Christiana Care Health Services, Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 200 Hygeia Dr Ste 1360, Newark, DE 19713-2049 | 2006-06-15 |
| 1881633220 | Mwazhuwa Leonard Ray Kuretu | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 400 Savannah Road, Suite C, Lewes, DE 19958-0000 | 2006-06-04 |
| 1306896360 | Fernando M Garzia | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 118 Beaver Dam Reach, Rehoboth Beach, DE 19971-6101 | 2006-05-11 |
| 1801353610 | Bayhealth Medical Center, Inc. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 100 Wellness Way, Milford, DE 19963-4364 | 2019-02-28 |
| 1922273804 | Claude Anthony Beaty Jr. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1600 Rockland Rd, Wilmington, DE 19803 | 2008-04-23 |
| 1376755991 | Eduardo Yatco, Pa | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 8866 Riverside Dr, Seaford, DE 19973-3655 | 2007-05-04 |
| 1255465571 | Charles R Mulligan Jr. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4701 Ogletown Stanton Road, Helen F. Graham Cancer Center, Suite 2100, Newark, DE 19713 | 2007-03-16 |
| 1043366578 | Nadiv Shapira, Md Pa | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1701 Augustine Cut Off, Suite 201, Wilmington, DE 19803-4415 | 2007-01-26 |
| 1417021510 | Christiana Care Health Services, Inc. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 400 Savannah Rd, Lewes Professional Building, Suite C, Lewes, DE 19958-1499 | 2006-11-20 |
| 1760566855 | Chandra Shekhar R Beesam | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4735 Ogletown Stanton Rd, Map 2, Suite 1201& 1205, Newark, DE 19713-2072 | 2006-10-25 |
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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.