DR. BARRY P DERAN M.D. NPI 1649263963

NPI Information

NPI: 1649263963
Provider Name: DR. BARRY P DERAN, M.D.
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

Address:
5705 MONCLOVA RD
SUITE 204
MAUMEE, OH
ZIP 43537
Phone: (419) 897-7611
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DR. Barry P Deran, M.D. is a cardiovascular disease internal medicine in Maumee, OH. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. DR. Barry P Deran, M.D. NPI is 1649263963. 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:

5705 MONCLOVA RD
SUITE 204
MAUMEE, OH
ZIP 43537-875
Phone: (419) 897-7611
Fax: (419) 897-7615

The enumeration date for this NPI number is 8/23/2005 and was last updated on 5/8/2008.

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	Taxonomy Specialization	License Number	License State	Primary
1	207RC0000X	Internal Medicine	Cardiovascular Disease	35055640	OHIO	Yes

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	DE4028432	MEDICARE PIN	OHIO
2	0679207	MEDICAID	OHIO

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

NPI Synchronization or Removal

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