Provider Demographics
NPI:1578542122
Name:CAPE MEDICAL ASSOCIATES, P.A.
Entity Type:Organization
Organization Name:CAPE MEDICAL ASSOCIATES, P.A.
Other - Org Name:CAPE ORTHOPAEDICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:P
Authorized Official - Last Name:MARVEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:302-645-2805
Mailing Address - Street 1:701 SAVANNAH RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:LEWES
Mailing Address - State:DE
Mailing Address - Zip Code:19958-1550
Mailing Address - Country:US
Mailing Address - Phone:302-645-2805
Mailing Address - Fax:302-645-1164
Practice Address - Street 1:701 SAVANNAH RD
Practice Address - Street 2:SUITE B
Practice Address - City:LEWES
Practice Address - State:DE
Practice Address - Zip Code:19958-1550
Practice Address - Country:US
Practice Address - Phone:302-645-2805
Practice Address - Fax:302-645-1164
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-12
Last Update Date:2011-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE1989019555174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DEE21844Medicare UPIN
DEE69599Medicare UPIN
DEH44029Medicare UPIN
DE0663340001Medicare NSC
DE015794Medicare PIN