MR. JOHN J DERISIO OPA NPI 1700968989

NPI Information

  • NPI: 1700968989
  • Provider Name: MR. JOHN J DERISIO, OPA
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • Address: 2535 S DOWNING ST
    SUITE 100
    DENVER, CO
    ZIP 80210
  • Phone: (720) 524-1367

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NPI Details

MR. John J Derisio, OPA is a surgical physician assistant in Denver, CO. MR. John J Derisio, OPA NPI is 1700968989. 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:

2535 S DOWNING ST
SUITE 100
DENVER, CO
ZIP 80210-847
Phone: (720) 524-1367
Fax: (720) 524-1422

The enumeration date for this NPI number is 10/19/2006 and was last updated on 8/5/2010.

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
1363AS0400XPhysician AssistantSurgical154COLORADOYes

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: 3/30/2025

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