JUAN J DEROJAS (NPI# 1073581013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073581013 |
| Entity Type | Individual |
| Full Name | JUAN J DEROJAS |
| Credential | M.D. |
| Practice Address |
200 S River St Plains PA 18705-1143 |
| Practice Telephone | 5708211100 |
| Practice Fax Number | 5708211108 |
| Mailing Telephone | 5708211100 |
| Mailing Fax Number | 5708211108 |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2019-04-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | MD025633E | PA | Allopathic & Osteopathic Physicians |
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
MD025633E | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1013872 | 05 |
| Street Address |
200 S RIVER ST |
| City | PLAINS |
| State | PA |
| Zip Code | 18705-1143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265409551 | David B Lucchino | Surgery | 200 S River St, Plains, PA 18705-1143 | 2006-03-05 |
| 1144773151 | Kyle Landis | Physician Assistant | 200 S River St, Plains, PA 18705-1143 | 2016-07-26 |
| 1982031993 | Kelsey Ann Leedock | Physician Assistant | 200 S River St, Plains, PA 18705-1143 | 2013-10-04 |
| 1912344607 | Keystone Surgical Assistants Inc. | Physician Assistant | 200 S River St, Plains, PA 18705-1143 | 2013-06-04 |
| 1457481020 | Charles Jobst IIi | Physician Assistant | 200 S River St, Plains, PA 18705-1143 | 2007-03-06 |
| 1700926078 | Dean R Adams | Surgery | 200 S River St, Plains, PA 18705-1143 | 2007-02-07 |
| 1104974328 | Gary Paul Neale | Specialist | 200 S River St, Plains, PA 18705-1143 | 2007-01-05 |
| 1497717482 | Surgical Specialists of Wyoming Valley, PC | Surgery | 200 S River St, Plains, PA 18705-1143 | 2006-04-05 |
| 1265400204 | Clark D Gerhart | Surgery | 200 S River St, Plains, PA 18705-1143 | 2006-03-08 |
| 1609844646 | Barry J Pernikoff | Surgery | 200 S River St, Plains, PA 18705-1143 | 2006-03-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316446206 | Mark L Rowan | Physical Therapist | 667 North River Street, Plains, PA 18705 | 2018-02-06 |
| 1588105589 | Maxim Healthcare Services Inc | Home Health | 672 North River St., Suite 102, Plains, PA 18705 | 2017-03-10 |
| 1538572383 | Kevin Loftus | Pharmacist | 20 South River St, Plains, PA 18705 | 2014-06-10 |
| 1831345487 | Terry Lynn Elias | Speech-Language Pathologist | 1014 Morgan Drive, Wilkes-barre, PA 18705 | 2008-08-14 |
| 1578699963 | Renee Elizabeth Edwards | Dentist | 163 S River Street, Plains, PA 18705 | 2007-02-27 |
| 1669568770 | Wyoming Valley Alcohol and Drug Services Inc | Counselor | 437 North Main St., Wilkes Barre, PA 18705 | 2006-10-05 |
| 1912090689 | Emmanuel Egipto Jacob | Acupuncturist | 39 South River Street, Plains, PA 18705 | 2006-10-02 |
| 1336159508 | Albert David Janerich | Physical Medicine & Rehabilitation | 667 S River St, Plains, PA 18705 | 2006-08-09 |
| 1174543094 | Northeast Pedorthic Services Inc | Durable Medical Equipment & Medical Supplies | 234 S River Rd, Plains, PA 18705 | 2006-07-21 |
| 1235118225 | Riverview Orthotics Prosthetics Inc | Prosthetic/Orthotic Supplier | 220 South River St, Suite 204, Plains, PA 18705 | 2006-01-10 |
| Find all providers in zip 18705 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720630650 | Broad Street Professional Medical Services LLC | Surgery | 2033 S Broad St Ste A, Philadelphia, PA 19148-5505 | 2019-07-11 |
| 1124670922 | Broad Street Medical LLC | Surgery | 2033 S Broad St Ste B, Philadelphia, PA 19148-5505 | 2019-07-11 |
| 1932610755 | Vascular Surgical Specialists Pllc | Surgery | 1450 E Boot Rd Ste 600b, West Chester, PA 19380-5968 | 2017-10-19 |
| 1336515956 | Aria Health Physician Services | Surgery | 9501 Roosevelt Blvd Ste 312, Philadelphia, PA 19114-1028 | 2015-08-18 |
| 1437525490 | Advanced Vein and Laser Center Lancaster, LLC | Surgery | 896a Plaza Blvd, Lancaster, PA 17601-2745 | 2015-08-13 |
| 1447658877 | Center for Vein Restoration Pa Pllc | Surgery | 1338 Bristol Pike Ste 205, Bensalem, PA 19020-5679 | 2014-12-17 |
| 1023423167 | Catherine Go | Surgery | 420 S Aiken Ave, Apt A6, Pittsburgh, PA 15232-1226 | 2014-06-27 |
| 1659703635 | Walter J. Fagan | Surgery | 211 Center Ave, Jim Thorpe, PA 18229-1205 | 2013-08-01 |
| 1346521267 | Usa Vein Clinics of Philadelphia LLC | Surgery | 51 Cameron Rd, Huntingdon Valley, PA 19006-1401 | 2011-09-06 |
| 1124314893 | Nathan Loren Liang | Surgery | 200 Lothrop St # A-1017, Pittsburgh, PA 15213-2536 | 2011-06-21 |
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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.