FIRST STATE ORTHOPAEDICS, PA
NPI 1689227456
Clinic/Center - Radiology in Lewes, DE

NPI Status: Active since July 22, 2019

Contact Information

12100 BLACK SWAN DRIVE
SUITE 101
LEWES, DE
ZIP 19958
Phone: (302) 731-2888
Fax: (302) 731-7049

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  • Organization
  • Clinic/Center
  • Radiology
  • CLIA Number: 08D0717313
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 07-21-2026

About FIRST STATE ORTHOPAEDICS, PA

This page provides the complete NPI Profile along with additional information for First State Orthopaedics, Pa, a provider established in Lewes, Delaware operating as a Clinic/center, focusing in radiology . The healthcare provider is registered in the NPI registry with number 1689227456 assigned on July 2019. The practitioner's primary taxonomy code is 261QR0200X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is David Blaeuer (Executive Director)

NPI
1689227456
Provider Name
FIRST STATE ORTHOPAEDICS, PA
Entity Type
Organization
Location Address
12100 BLACK SWAN DRIVE SUITE 101 LEWES, DE 19958
Location Phone
(302) 731-2888
Location Fax
(302) 731-7049
Mailing Address
211 EXECUTIVE DR STE 11 NEWARK, DE 19702
Mailing Phone
(302) 731-2888
Mailing Fax
(302) 731-7049
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-22-2019
Last Update Date
07-22-2019
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Radiology

Taxonomy Code
261QR0200X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DAVID BLAEUER

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(302) 731-2888

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
08D0717313
Facility Type
Physician Office
Certificate Effective Date
July 22, 2024
Certificate Expiration Date
July 21, 2026
Laboratory Director
JOHN W. MURPHY,III MD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to First State Orthopaedics, Pa to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1689227456
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
261694214410
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 6 + 9 + 4 + 2 + 1 + 4 + 4 + 1 + 0 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1689227456 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 13 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1629029749DR. EDMUND THOMAS CARROLL III D.O.
Individual
Orthopaedic Surgery12100 BLACK SWAN DRIVE SUITE 201
LEWES, DE 19958
(302) 644-3311
1245281351DR. RONALD CAESAR SABBAGH M.D.
Individual
Orthopaedic Surgery12100 BLACK SWAN DRIVE SUITE 201
LEWES, DE 19958
(302) 644-3311
1326099250 GERARD JOSEPH HAINES PA-C
Individual
Physician Assistant12100 BLACK SWAN DRIVE SUITE 201
LEWES, DE 19958
(302) 644-3311
1093807158 DALE F. SUTHERLAND M.D.
Individual
Anesthesiology12100 BLACK SWAN DRIVE SUITE 201
LEWES, DE 19958
(302) 644-3311
1760661078 CLAIRE MEGAN CAPOBIANCO
Individual
Podiatrist (Foot & Ankle Surgery)12100 BLACK SWAN DRIVE SUITE 201
LEWES, DE 19958
(302) 644-3311
1548428725 GITA PILLAI M.D.
Individual
Orthopaedic Surgery12100 BLACK SWAN DRIVE SUITE 201
LEWES, DE 19958
(302) 644-3311
1831418912DR. JOSEPH M FARRELL D.O.
Individual
Orthopaedic Surgery12100 BLACK SWAN DRIVE SUITE 201
LEWES, DE 19958
(302) 644-3311
1508491481LEWES CHIROPRACTIC LLC
Organization
Chiropractor12100 BLACK SWAN DRIVE SUITE 103
LEWES, DE 19958
(302) 644-5750
1447472469DR. SCOTT M SCHULZE MD
Individual
Surgery (Surgery of the Hand)12100 BLACK SWAN DRIVE SUITE 201
LEWES, DE 19958
(302) 644-3311
1619528775FIRST STATE ORTHOPAEDICS, PA
Organization
Orthopaedic Surgery12100 BLACK SWAN DRIVE SUITE 201
LEWES, DE 19958
(302) 644-3311
1184681488FIRST STATE ORTHOPAEDICS PA
Organization
Orthopaedic Surgery12100 BLACK SWAN DRIVE SUITE 201
LEWES, DE 19958
(302) 644-3311
1184721664 ROMAN C ORSINI DPM
Individual
Podiatrist (Foot & Ankle Surgery)12100 BLACK SWAN DRIVE SUITE 201
LEWES, DE 19958
(302) 644-3311
1467083782 KAITLIN CHRISTINE EMREY PHYSICAL THERAPIST
Individual
Physical Therapist12100 BLACK SWAN DRIVE SUITE 202
LEWES, DE 19958
(302) 644-5591

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689227456, enumerated in the NPI registry as an "organization" on July 22, 2019

The provider is located at 12100 Black Swan Drive Suite 101 Lewes, De 19958 and the phone number is (302) 731-2888

This medical organization specializes in Clinic/Center with taxonomy code 261QR0200X with a focus in Radiology

The provider's CLIA number is 08D0717313 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on July 22, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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