KURSTYN T DERR


Address: 540 South Govenors Ave, Suite 100 Mailcode 3041, Dover, DE 19901
Phone: 3025261470

KURSTYN T DERR (NPI# 1235697749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235697749
Entity Type Individual
Full Name KURSTYN T DERR
Other Name KURSTYN T PFLEEGOE
Credential PA-C
Practice Address 540 South Govenors Ave
Suite 100 Mailcode 3041
Dover
DE 19901
Mailing Address 640 South State Street
Mailcode 3055
Dover
DE 19901
Practice Telephone 3025261470
Enumeration Date 2019-03-05
Last Update Date 2019-03-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 1157180 DE Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 540 SOUTH GOVENORS AVE
SUITE 100 MAILCODE 3041
City DOVER
State DE
Zip Code 19901

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NPI Name Taxonomy Address Enumeration
1386274488 Aba Services, LLC Behavioral Analyst 8 The Green, Ste R, Dover, DE 19901 2020-01-17
1699332171 Robin Lynn Maracle Clinical Nurse Specialist 640 S. State St., Mail Code 1403, Dover, DE 19901 2019-05-21
1831610534 Vaman Kanu Patel Physical Therapist 16 Coventry Ct, Dover, DE 19901 2017-07-03
1033656798 American Medical LLC Durable Medical Equipment & Medical Supplies 9 E. Lockerman Street, #202, Dover, DE 19901 2017-01-19
1245575067 Keena Segre Pharmacist 601 South State Street, Dover, DE 19901 2012-12-05
1376845818 Michael Angelo Vernale IIi Psychologist 260 Chad Street, Dover Afb, Dover, DE 19901 2010-12-02
1396046215 Richard Scott Shipley Hearing Instrument Specialist 1000 Dover Mall,miracle Ear/sears/, Route 13 North Dupont Hwy., Dover, DE 19901 2010-11-09
1780999599 Suzanne Irene Ford Speech-Language Pathologist 1695 S. State Street Suite 5-a, Dover, DE 19901 2010-08-17
1780816231 Karen A West Nutritionist 540 S State St, Dover, DE 19901 2009-08-18
1578726600 Stephanie Bollinger Counselor 103 Mont Blanc Boulivard, Dover, DE 19901 2008-07-09
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922643139 Kayla Sharese Beauplan Physician Assistant 644 S Queen St Ste 106, Dover, DE 19904-3543 2019-11-12
1598313793 Neil Mast Physician Assistant 515 Union Ave Ste 157, Dover, OH 44622-3005 2019-08-30
1699339317 Diana Kay Fizette Physician Assistant 13014 Binnion Dr, Dover, FL 33527-3661 2019-04-29
1508332149 Kerri Taylor Physician Assistant 1125 Forrest Ave Ste 203, Dover, DE 19904-3483 2018-10-22
1841716909 Tara Kay Physician Assistant 1113 S State St Ste 100, Dover, DE 19901-4112 2017-08-20
1356861918 Brielle Camille Greco Physician Assistant 655 S Bay Rd Ste 1, Dover, DE 19901-4615 2017-06-26
1710407671 Alicia Kelley Wilber Physician Assistant 750 Central Ave Ste N, Dover, NH 03820-3434 2017-06-22
1194194035 Shawn Blackburn Physician Assistant 200 Banning St Ste 340, Dover, DE 19904-3490 2015-09-22
1851760094 Sydney Scott Physician Assistant 200 Banning Street, Suite 340, Eden Hill Medical Center, Dover, DE 19904 2015-09-17
1881083053 Mackenzi E Ramus Physician Assistant 335 Oxford St Ste A, Dover, OH 44622-1970 2015-01-12
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Competitor

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City DOVER
Zip Code 19901

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Dataset Information

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.

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