1770613465 NPI number — DEROOS FAMILY & PEDIATRIC HEALTH CENTER PC

Table of content: (NPI 1770613465)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1770613465 NPI number — DEROOS FAMILY & PEDIATRIC HEALTH CENTER PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DEROOS FAMILY & PEDIATRIC HEALTH CENTER PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1770613465
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
340 SUNSET DR NW
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CLEVELAND
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
37312-5349
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
423-614-5654
Provider Business Mailing Address Fax Number:
423-614-5645

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
340 SUNSET DR NW
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CLEVELAND
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37312-5349
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
423-614-5654
Provider Business Practice Location Address Fax Number:
423-614-5645
Provider Enumeration Date:
03/06/2007

Additional Information

Authorized Official

Authorized Official Last Name:
DEROOS
Authorized Official First Name:
TIMOTHY
Authorized Official Middle Name:
DAVID
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
423-614-5654

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  DC1294 , registered in the state of TN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 3043835 . This is a "BCBS PROVIDER ID NUMBER" identifier , issued by the state of ( TN ) . This identifiers is of the category "OTHER".
  • Identifier: 3730366 , issued by the state of ( TN ) . This identifiers is of the category "MEDICAID".




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