JOHN W DERR M. D. NPI 1801883988

NPI Information

NPI: 1801883988
Provider Name: JOHN W DERR, M. D.
Classification: Specialist - 174400000X
Entity Type: Individual
Organization: MARTIN FOX M.D.

PECOS Registration: Yes

Address:
4001 KRESGE WAY
SUITE 320
LOUISVILLE, KY
ZIP 40207
Phone: (502) 895-5850
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John W Derr, M. D. is a specialist in Louisville, KY with 43 years of experience. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. John W Derr, M. D. NPI is 1801883988. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1981

The provider's business location address is:

4001 KRESGE WAY
SUITE 320
LOUISVILLE, KY
ZIP 40207-640
Phone: (502) 895-5850
Fax: (502) 895-1210

The NPI 1801883988 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 10/4/2005 and was last updated on 10/21/2014.

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	174400000X	Specialist		25991	KENTUCKY	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
1	100345240B	MEDICAID	INDIANA
2	1397714	MEDICARE PIN	KENTUCKY
3	C78434	MEDICARE UPIN	KENTUCKY
4	64259914	MEDICAID	KENTUCKY

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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