Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Prosper Tarley, PA-C

Individual provider Physician Assistant · NPI 1265248314

Prosper Tarley, PA-C is a Physician Assistant in Lewes, Delaware. Qualified in 2024, 2 years ago. Practices with First State Orthopaedics PA, a 95-clinician group and accepts Medicare assignment. Licensed in Delaware.

Years since qualifying
2
Licensed in
DE
In the registry since
2024
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

12100 Black Swan Dr Ste 201
Lewes, DE 19958-4991
Phone: (302) 644-3311
Fax: (302) 644-3300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (DE)

Record details

NPI number1265248314
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 4, 2024
Last updated in NPPESDecember 6, 2024
Certification dateDecember 6, 2024
Mailing address33117 Turquoise Ln Unit 5103, Rehoboth Beach, DE 19971-7161

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice First State Orthopaedics Pa — 95 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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