| First State Foot & Ankle, Llc | |
|
4512 Kirkwood Highway Suite 203, Wilmington, DE 19808 | |
| (302) 984-0257 | |
| (302) 984-0258 |
| Full Name | First State Foot & Ankle, Llc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 4512 Kirkwood Highway Suite 203, Wilmington, Delaware |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154344422 | NPI | - | NPPES |
| 2245524000 | Other | DE | AMERIHEALTH/ KEYSTONE # |
| 7752539 | Other | DE | AETNA GROUP # |
| 1000027213 | Medicaid | DE | |
| 0001047917 | Other | DE | DELAWARE PHYSICIANS INC. |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | E1-0000143 (Delaware) | Primary |
| Provider Name | Joseph A Ciampoli |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1588602080 PECOS PAC ID: 0840289708 Enrollment ID: I20040625000194 |
| Provider Name | Anmol Burmi |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1518546035 PECOS PAC ID: 0345643888 Enrollment ID: I20240916002554 |
| Mailing Address | Practice Location Address |
|---|---|
| First State Foot & Ankle, Llc 4512 Kirkwood Highway Suite 203, Wilmington, DE 19808 Ph: (302) 984-0257 | First State Foot & Ankle, Llc 4512 Kirkwood Highway Suite 203, Wilmington, DE 19808 Ph: (302) 984-0257 |
Dr. Heather M Rafal, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1601 Milltown Rd Ste 24, Wilmington, DE 19808 Phone: 302-998-0178 | |
Dr. Alexander Terris, D.P.M. Podiatrist Medicare: May Accept Medicare Assignments Practice Location: 2700 Silverside Rd Ste 3b, Wilmington, DE 19810 Phone: 302-478-1694 Fax: 302-478-1696 | |
Dr. Travis J Dwyer, D.P.M Podiatrist Medicare: Medicare Enrolled Practice Location: 1010 N Bancroft Pkwy, Suite 12, Wilmington, DE 19805 Phone: 302-658-1129 Fax: 302-658-7646 | |
Rachel Felicia Novick, Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1010 N Bancroft Pkwy Ste 12, Wilmington, DE 19805 Phone: 302-658-1129 Fax: 302-658-7646 | |
Brian William Mcdermott, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1010 N Bancroft Pkwy, Ste 12, Wilmington, DE 19805 Phone: 302-658-1129 | |
Dr Lesly Robinson Dpm Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 4011 N Market Street, Wilmington, DE 19802 Phone: 302-762-0200 Fax: 302-762-0500 |