Provider Type Icon

MR. DEREK STEVEN WAKEMAN M.D. NPI 1649483181


NPI Information

NPI: 1649483181
Provider Name: MR. DEREK STEVEN WAKEMAN, M.D.
Classification: Surgery - 2086S0120X
Entity Type: Individual

Specialization: Pediatric Surgery

PECOS Registration: Yes

Address:
601 ELMWOOD AVE
BOX SURG
ROCHESTER, NY
ZIP 14642
Phone: (585) 273-1753
Get Directions

MR. Derek Steven Wakeman, M.D. is a pediatric surgery surgery in Rochester, NY. The provider is a surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. MR. Derek Steven Wakeman, M.D. NPI is 1649483181. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

601 ELMWOOD AVE
BOX SURG
ROCHESTER, NY
ZIP 14642-001
Phone: (585) 273-1753
Fax: (585) 276-2370

The NPI 1649483181 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/8/2007 and was last updated on 6/29/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208600000XSurgery2006015616MISSOURINo
22086S0120XSurgeryPediatric Surgery283192NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.