Healthcare Provider Details
I. General information
NPI: 1972663995
Provider Name (Legal Business Name): REGIONAL ORTHOPAEDIC ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/11/2006
Last Update Date: 10/07/2025
Certification Date: 10/07/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1096 OLD CHURCHMANS RD
NEWARK DE
19713-2102
US
IV. Provider business mailing address
1941 LIMESTONE RD STE 101
WILMINGTON DE
19808-5413
US
V. Phone/Fax
- Phone: 302-655-9494
- Fax: 302-351-4898
- Phone: 302-655-9494
- Fax: 302-633-3559
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363A00000X |
| Taxonomy | Physician Assistant |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207X00000X |
| Taxonomy | Orthopaedic Surgery Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JOSHUA
VAUGHT
Title or Position: CEO
Credential:
Phone: 302-655-9494