ALTA J. DEROO (NPI# 1184791725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184791725 |
| Entity Type | Individual |
| Full Name | ALTA J. DEROO |
| Credential | MD |
| Practice Address |
767 Madison Rd Ste 107 Culpeper VA 22701 |
| Mailing Address |
Po Box 291943 525 Royal Parkway Nashville TN 37229-1943 |
| Practice Telephone | 7032145825 |
| Mailing Telephone | 8339530829 |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2019-06-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
2015108 | VA | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | 0101237764 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
767 MADISON RD STE 107 |
| City | CULPEPER |
| State | VA |
| Zip Code | 22701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720621907 | Warzetta Delphina Carter | Technician | 1415 Orange Rd., Culpeper, VA 22701 | 2019-10-21 |
| 1043747983 | Jeremy L. Mccullough | Physical Therapist | 15331 Creativity Dr # 960, Culpeper, VA 22701 | 2017-05-22 |
| 1013366921 | Angel Wings Family Services LLC. | Home Health | 133 East Davis Street Suite 330, Culpeper, VA 22701 | 2016-06-10 |
| 1598114654 | Aa Lightfoot Transportation | Non-emergency Medical Transport (VAN) | 13908 Eggbornsville Rd, Culpeper, VA 22701 | 2016-06-09 |
| 1780087437 | Healing Hands Therapeutic Massage, LLC. | Massage Therapist | 530 Sunset Lane, Culpeper, VA 22701 | 2014-10-08 |
| 1053694893 | Sharon Darling | Pharmacist | 309 Southgate Sc, Culpeper, VA 22701 | 2011-09-27 |
| 1821371196 | Cathy Annette Crain | Pharmacist | 309 Southgate, Safeway Pharmacy, Culpeper, VA 22701 | 2011-09-23 |
| 1447572698 | Jordan Lee Nougaret | Specialist/Technologist | 132 Standpipe Road, Culpeper, VA 22701 | 2010-02-15 |
| 1194957324 | Giant Food Stores, LLC | Pharmacy | 15371 Montanus Drive, Culpeper, VA 22701 | 2009-08-21 |
| 1093959611 | Samantha Jane Reynolds | Physician Assistant | 1100 Sunset Lane 1211-a, Culpeper, VA 22701 | 2009-04-27 |
| Find all providers in zip 22701 | ||||
| Taxonomy Code | 207RA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Addiction Medicine |
| An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790304616 | Mind Bridge Center LLC | Internal Medicine | 1390 Chain Bridge Rd # 10033, Mc Lean, VA 22101-3904 | 2020-04-10 |
| 1053945428 | Radical Recovery Treatment Center Inc | Internal Medicine | 5040 Virginia Beach Blvd Ste 104, Virginia Beach, VA 23462-6637 | 2020-02-25 |
| 1245789460 | Nova Addiction Specialists Lllc | Internal Medicine | 101 N Columbus St, Suite 405, Alexandria, VA 22314-3056 | 2016-09-29 |
| 1881639375 | Sergey Zhitar | Internal Medicine | 101 N Lynnhaven Rd, Suite 100, Virginia Beach, VA 23452-7523 | 2006-06-18 |
| 1295724888 | Farook A. Shaikh | Internal Medicine | 6305 Castle Pl, Suite 3c, Falls Church, VA 22044-1905 | 2005-10-17 |
| 1992790406 | Jann L Holwick | Internal Medicine | 2609 Sheffield Dr Ste 100, Blacksburg, VA 24060-8271 | 2005-09-12 |
| 1972120483 | Global Health Services | Internal Medicine | 6395 Little River Tpke, Alexandria, VA 22312-5003 | 2020-06-30 |
| 1932554953 | Lotus Health, LLC | Internal Medicine | 2300 Dumbarton Rd, Richmond, VA 23228-6014 | 2016-04-27 |
| 1669858635 | Legacy Health Management Solutions | Internal Medicine | 5206 Markel Rd, Suite 102, Richmond, VA 23230-3044 | 2015-07-31 |
| 1710305990 | Radhika A Manhapra Md Pllc | Internal Medicine | 4509 Whitechapel Dr, Virginia Beach, VA 23455-6447 | 2014-04-03 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ALTA J. DEROO.
| 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.