DR. JAMES B. DEREN M.D. NPI 1053310078

NPI Information

NPI: 1053310078
Provider Name: DR. JAMES B. DEREN, M.D.
Classification: General Practice - 208D00000X
Entity Type: Individual
Organization: UPMC WESTERN MARYLAND CORPORATION

PECOS Registration: Yes

Address:
1050 W INDUSTRIAL BLVD
CUMBERLAND, MD
ZIP 21502
Phone: (240) 964-9355
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DR. James B. Deren, M.D. is a general practice in Cumberland, MD with 39 years of experience. DR. James B. Deren, M.D. NPI is 1053310078. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: EASTERN VIRGINIA MEDICAL SCHOOL
Graduation Year:1985

The provider's business location address is:

1050 W INDUSTRIAL BLVD
CUMBERLAND, MD
ZIP 21502-331
Phone: (240) 964-9355
Fax: (240) 964-9356

The NPI 1053310078 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 7/20/2005 and was last updated on 6/14/2021.

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 Code	Taxonomy Clasification	License Number	License State	Primary
1	207R00000X	Internal Medicine	D0042053	MARYLAND	No
2	208D00000X	General Practice	D0042053	MARYLAND	Yes
3	208D00000X	General Practice	25568	WEST VIRGINIA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	080100953	OTHER	MARYLAND	TRAVELERS MEDICARE
2	751321600	MEDICAID	MARYLAND
3	0044030000	MEDICAID	WEST VIRGINIA
4	53450104	OTHER	MARYLAND	CAREFIRST BC BS
5	K029 0001	OTHER	DISTRICT OF COLUMBIA	BLUE CHOICE

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: 11/14/2023

NPI Synchronization or Removal

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