SOUTHERN DELAWARE FOOT & ANKLE LLC (NPI# 1548301005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548301005 |
| Entity Type | Organization |
| Organization Name | SOUTHERN DELAWARE FOOT & ANKLE LLC |
| Practice Address |
543 N Shipley St Suite C Seaford DE 19973-2339 |
| Mailing Address |
Po Box 772 Seaford DE 19973-0772 |
| Practice Telephone | 3026293000 |
| Practice Fax Number | 3026293080 |
| Mailing Telephone | 3026293613 |
| Mailing Fax Number | 3026292384 |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2011-04-26 |
| Authorized Official Name | BRADLEY T LEMON (OWNER) |
| Authorized Official Telephone | 3026293000 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
E1-0000121 | DE | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DE | AETNA - HMO | 3316680 | 01 |
| DE | CIGNA | 8699345001 | 01 |
| DE | RAILROAD MEDICARE | P00062710 | 01 |
| DE | 1000025919 | 05 | |
| DE | OPTIMUM CHOICE | 448142 | 01 |
| DE | AMERIHEALTH | 2220599000 | 01 |
| DE | AETNA - PPO | 3314440 | 01 |
| DE | COVENTRY | 2161 | 01 |
| DE | BLUE CROSS BLUE SHIELD | 510401832 | 01 |
| Street Address |
543 N SHIPLEY ST SUITE C |
| City | SEAFORD |
| State | DE |
| Zip Code | 19973-2339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366448730 | Bradley T Lemon | Podiatrist | 543 N Shipley St, Ste C, Seaford, DE 19973-2339 | 2005-06-22 |
| 1164859336 | Allen Mirzaei | Podiatrist | 543 N Shipley St, Suite C, Seaford, DE 19973-2339 | 2013-10-03 |
| 1922447051 | Resources for Human Development, Inc. | Clinic/Center | 543 N Shipley St, Unit D, Seaford, DE 19973-2339 | 2013-06-21 |
| 1740320613 | John C. Lynch | Dentist | 543 N Shipley St, Ste E, Seaford, DE 19973-2339 | 2007-02-08 |
| 1386784254 | Janette Rodriguez | Dentist | 543 N Shipley St, Ste E, Seaford, DE 19973-2339 | 2007-02-08 |
| 1891835740 | Lynch, Rodriguez and Keller, Pa | Dentist | 543 N Shipley St, Ste E, Seaford, DE 19973-2339 | 2007-02-08 |
| 1972649556 | Nanticoke Surgical Associates, P.a. | Surgery | 543 N Shipley St, Seaford, DE 19973-2339 | 2007-01-30 |
| 1326110511 | Stephen Daniel Carey | Surgery | 543 N Shipley St, Suite A, Seaford, DE 19973-2339 | 2006-11-14 |
| 1336211432 | Samuel K. Miller | Surgery | 543 N Shipley St, Suite A, Seaford, DE 19973-2339 | 2006-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831718972 | Deepa Abhilash | Nurse Practitioner | Nanticoke Memorial Hospital, 801, Middleford Rd, Milford, DE 19973 | 2020-04-09 |
| 1215477997 | Ekta Sharma | Physical Therapist | 715 King Street, Lofland Park Center, Seaford, DE 19973 | 2017-03-01 |
| 1497126981 | Christopher M. Heisey | Podiatrist | 543 N Shipley St Ste C, Seaford, DE 19973 | 2015-10-09 |
| 1083035026 | Angela Childs | Radiologic Technologist | 801 Road 535, Seaford, DE 19973 | 2013-12-18 |
| 1831531375 | Jennifer Willis-lal | Physical Therapist | 28091 Barley Run, Seaford, DE 19973 | 2013-07-25 |
| 1972820017 | Pain Treatment and Anesthesia Management Services, LLC | Pain Medicine | 400 Health Services Dr Ste 401, Seaford, DE 19973 | 2010-04-29 |
| 1275737652 | Ronald Concha Parra | Internal Medicine | 701 Middleford Road, Seaford, DE 19973 | 2007-06-12 |
| 1013034172 | Jiloca Dejesus Jiloca Mdpa | Family Medicine | 105 A Front Street, Seaford, DE 19973 | 2007-03-23 |
| 1922122043 | Carla K. Linder | Counselor | 109 Rivers End Dr., Seaford, DE 19973 | 2007-03-16 |
| 1558494385 | Edwin J Juste | Chiropractor | 608 North Porter Street, Seaford, DE 19973 | 2007-03-13 |
| Find all providers in zip 19973 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366448730 | Bradley T Lemon | Podiatrist | 543 N Shipley St, Ste C, Seaford, DE 19973-2339 | 2005-06-22 |
| 1104128297 | Rakesh N Patel | Podiatrist | 1501 Middleford Rd, Seaford, DE 19973-3615 | 2010-11-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184808347 | Dr Lesly Robinson Dpm | Podiatrist | 4011 N Market Street, Wilmington, DE 19802 | 2007-12-24 |
| 1922282235 | Stephen R. Pittman, Dpm Pa | Podiatrist | 410 Christiana Medical Ctr, Newark, DE 19702-1654 | 2007-12-21 |
| 1588602080 | Joseph A Ciampoli | Podiatrist | 4512 Kirkwood Highway Suite 203, Wilmington, DE 19808 | 2006-06-04 |
| 1215922349 | Foot Care Group, P.a. | Podiatrist | 1601 Milltown Rd, Suite 24, Wilmington, DE 19808-4027 | 2005-09-14 |
| 1275528309 | Jason M. Bell | Podiatrist | 1 Centurian Drive, Suite 101, Newark, DE 19713-2137 | 2005-09-14 |
| 1831196831 | Jacob Edward Hanlon | Podiatrist | 22 Old Rudnick Ln, Dover, DE 19901-4912 | 2005-07-05 |
| 1417469503 | Ankle and Foot Surgical Associates | Podiatrist | 701 N Clayton St Ste 400, Wilmington, DE 19805-3165 | 2017-10-29 |
| 1164959243 | Johanna Elizabeth Lightcap | Podiatrist | 334 Savannah Rd, Lewes, DE 19958-1449 | 2017-05-19 |
| 1215342076 | Sandeep Khehra-mirzaei | Podiatrist | 18947 John J Williams Hwy Unit 210, Rehoboth Beach, DE 19971 | 2014-06-30 |
| 1841537222 | Family Foot and Ankle Care of Delaware, LLC | Podiatrist | 18947 John J Williams Hwy, 311, Rehoboth Beach, DE 19971-4474 | 2013-01-06 |
| 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.