DEREK T JURUS (NPI# 1053571414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053571414 |
| Entity Type | Individual |
| Full Name | DEREK T JURUS |
| Credential | D.O. |
| Practice Address |
5 Washington Pl Dartmouth Hitchcock - Ob/gyn Bedford NH 03110-6736 |
| Practice Telephone | 6036952900 |
| Mailing Telephone | 6036952900 |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2017-11-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 17171 | NH | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | H0075851 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 3101765 | 05 | |
| MD | 119591300 | 05 | |
| VT | 1026016 | 05 |
| Street Address |
5 WASHINGTON PL DARTMOUTH HITCHCOCK - OB/GYN |
| City | BEDFORD |
| State | NH |
| Zip Code | 03110-6736 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689657355 | Peter Spencer Heyl | Obstetrics & Gynecology | 5 Washington Pl, 3rd Floor, Bedford, NH 03110-6736 | 2005-11-27 |
| 1417579277 | Dartmouth-hitchcock Clinic | Durable Medical Equipment & Medical Supplies | 5 Washington Pl, Bedford, NH 03110-6736 | 2020-05-14 |
| 1093365744 | Amy L Morissette | Nurse Practitioner | 5 Washington Pl, Bedford, NH 03110-6736 | 2019-09-16 |
| 1437710944 | Dd Deurell Travers | Family Medicine | 5 Washington Pl, Bedford, NH 03110-6736 | 2019-06-25 |
| 1821571886 | Thandiwe Dhliwayo | Registered Nurse | 5 Washington Pl, Bedford, NH 03110-6736 | 2018-09-14 |
| 1568979425 | Sarah J Jacobson | Dietitian, Registered | 5 Washington Pl, Bedford, NH 03110-6736 | 2018-01-01 |
| 1942711874 | Cassandra Lynne Montminy | Advanced Practice Midwife | 5 Washington Pl, Bedford, NH 03110-6736 | 2017-10-18 |
| 1992214969 | Kathrine Yvonne Krupnik | Advanced Practice Midwife | 5 Washington Pl, Bedford, NH 03110-6736 | 2017-09-21 |
| 1578932224 | Emily Proulx | Nurse Practitioner | 5 Washington Pl, Bedford, NH 03110-6736 | 2015-09-23 |
| 1033586268 | Kathleen January | Genetic Counselor, MS | 5 Washington Pl, 364, Bedford, NH 03110-6736 | 2015-08-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114587300 | Jillian Lee Grosse | Dietitian, Registered | 80 Palomino Lane Nutrition In Motion, LLC, Suite 101, Bedford, NH 03110 | 2019-06-19 |
| 1154892909 | Artemis Clinic | Acupuncturist | 288 South River Road, Bldg A, Unit 1, Bedford, NH 03110 | 2018-12-05 |
| 1942790217 | Wendy Arleen Williams | Acupuncturist | 360 Route 101 Bldg. 1, Suite E, Bedford, NH 03110 | 2018-05-13 |
| 1336638352 | Elliot Hospital of The City of Manchester | Pharmacy | 25 Leavy Dr, Bedford, NH 03110 | 2018-05-04 |
| 1588182034 | Camille Redmond | Nutritionist | 360 Route 101 Suite 3 A, Bedford, NH 03110 | 2017-09-05 |
| 1750837092 | Katya Kudryavtseva | Acupuncturist | 288 South River Rd, Bldg A, Unit 1, Bedford, NH 03110 | 2016-08-28 |
| 1003268004 | Bethany Heidemann | Occupational Therapist | 66 Hawthorne Dr S, Bedford, NH 03110 | 2016-07-01 |
| 1477913044 | Ultraflex Systems Inc. | Durable Medical Equipment & Medical Supplies | 150 Constitution Drive, 1st Floor, Bedford, NH 03110 | 2016-02-25 |
| 1508243676 | Lydia Ann Nickerson | Dental Hygienist | 4 Bell Hill Rd., Bedford, NH 03110 | 2015-04-28 |
| 1629477021 | Convenientmd LLC | Clinic/Center | 3 Nashua Rd, Bedford, NH 03110 | 2014-08-21 |
| Find all providers in zip 03110 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831476142 | Mark Edward Scroggins, M.d. P.a. | Obstetrics & Gynecology | 2612 Harwood Rd Ste A, Bedford, TX 76021-8308 | 2011-11-15 |
| 1295064079 | Jill Leslie Becker | Obstetrics & Gynecology | 165 Millertown Rd, Bedford, NY 10506-1306 | 2009-12-08 |
| 1790930444 | Sergio M Arambulo | Obstetrics & Gynecology | 8 French Dr, Bedford, NH 03110-5717 | 2008-11-21 |
| 1659490837 | University Primary Care Practices Inc | Obstetrics & Gynecology | 50 Blaine Ave # 2100, Bedford, OH 44146-2709 | 2007-03-28 |
| 1114057189 | Aegis Women's Healthcare | Obstetrics & Gynecology | 2125 West 16th Street, Bedford, IN 47421-3003 | 2007-03-07 |
| 1306956446 | Laszlo Sogor | Obstetrics & Gynecology | 19550 Rockside Rd, Bedford, OH 44146-2083 | 2006-08-30 |
| 1639105505 | Stephen James Farmer | Obstetrics & Gynecology | 3001 Airport Fwy Ste A, Bedford, TX 76021-6012 | 2006-06-23 |
| 1508811274 | Kristen M Vallery | Obstetrics & Gynecology | 1615 Hospital Pkwy Ste 100, Bedford, TX 76022-5935 | 2006-05-23 |
| 1699728840 | Mark Edward Scroggins | Obstetrics & Gynecology | 2612 Harwood Rd, Bedford, TX 76021-8308 | 2006-05-18 |
| 1386601961 | Karen B Wesselhoeft | Obstetrics & Gynecology | 201 Riverway Place, Bedford, NH 03110 | 2006-04-27 |
| Find all providers in BEDFORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.