DR. MICHAEL PHILLIP DEPERRO III (NPI# 1255588810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255588810 |
Entity Type | Individual |
Full Name | DR. MICHAEL PHILLIP DEPERRO III |
Credential | M.D. |
Practice Address |
1830 Bethel Rd Ste 200 Columbus OH 43220-1809 |
Practice Telephone | 6149406607 |
Practice Fax Number | 6144294948 |
Mailing Telephone | 6149406607 |
Mailing Fax Number | 6144294948 |
Enumeration Date | 2008-08-25 |
Last Update Date | 2020-11-04 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208200000X | Plastic Surgery | 112600 | OH | Allopathic & Osteopathic Physicians |
N | 208200000X | Plastic Surgery | 122373 | OH | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | 1134573496 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083625297 | Michael Phillip Deperro Jr. | Dentist | 8430 Market Street, Youngstown, OH 44512 | 2006-08-11 |
Street Address |
1830 BETHEL RD STE 200 |
City | COLUMBUS |
State | OH |
Zip Code | 43220-1809 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134573496 | Deperro Plastic Surgery, LLC | Plastic Surgery | 1830 Bethel Rd Ste 200, Columbus, OH 43220-1809 | 2016-04-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558878595 | Rachel Lee Nugen | Nurse Practitioner | 1885 W. Henderson Rd., Upper Arlington, OH 43220 | 2017-12-29 |
1285140871 | Sara J Morgan Murphy | Counselor | 5003 Horizons Dr., Suite 110, Columbus, OH 43220 | 2017-12-19 |
1386150282 | Another Beginning Inc | Pediatrics | 1830 Bethel Rd Ste D, Columbus, OH 43220 | 2017-12-15 |
1205341633 | Sarah Vorhis | Counselor | 5003 Horizons Drive Suite #110, Columbus, OH 43220 | 2017-12-07 |
1689187833 | Kimberly J Bonta | Counselor | 5003 Horizons Drive, Suite 110, Columbus, OH 43220 | 2017-11-09 |
1508383787 | Morgan Allison Dzurko | Behavior Technician | 5000 Arilington Centere Blv Building 2, Upper Arlington, OH 43220 | 2017-08-28 |
1801319504 | Sergei Schneider | Case Manager/Care Coordinator | 1550 Old Henderson Rd. St. 271, Columbus, OH 43220 | 2017-07-25 |
1467904391 | Michael James Nordgren | Specialist/Technologist | 535 Irving Schottenstein Dr., Columbus, OH 43220 | 2016-10-26 |
1588048250 | Kree Blakeman | Behavioral Analyst | 5000 Arlington Centre Boulevard, Columbus, OH 43220 | 2015-07-13 |
1043698699 | Candace Tanoue | Pharmacist | 4530 Kenny Road, Columbus, OH 43220 | 2015-05-15 |
Find all providers in zip 43220 |
Taxonomy Code | 208200000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Plastic Surgery |
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588919617 | Joseph Meyerson | Plastic Surgery | 915 Olentangy River Rd Ste 2100, Columbus, OH 43212-3154 | 2012-07-15 |
1760630974 | Shenita White | Plastic Surgery | 2430 Brookstone Centre Pkwy, Columbus, GA 31904-4501 | 2008-08-29 |
1184759557 | Gan Hok Bing | Plastic Surgery | 3600 Olentangy River Rd Ste 480, Columbus, OH 43214-3437 | 2007-02-23 |
1508946518 | Rafael Villalobos | Plastic Surgery | 1151 Bethel Rd Ste 101, Columbus, OH 43220-2775 | 2006-10-16 |
1629086665 | Mark C Preston | Plastic Surgery | 765 North Hamilton Rd, Suite 130, Columbus, OH 43230-8703 | 2006-08-04 |
1689607566 | Richard Harding Wilson | Plastic Surgery | 2200 North Ave, Columbus, GA 31904-8839 | 2006-07-07 |
1316938251 | Susan D Vasko | Plastic Surgery | 5005 Arlington Centre Blvd, Columbus, OH 43220-2912 | 2005-10-31 |
1558367839 | Bivik R Shah | Plastic Surgery | 6499 E Broad St, Ste 130, Columbus, OH 43213-6506 | 2005-06-22 |
1699770388 | Rajiv Y. Chandawarkar | Plastic Surgery | 181 Taylor Ave Fl 1, Columbus, OH 43203 | 2005-06-17 |
1811480585 | Peter Krasniak | Plastic Surgery | 915 Olentangy River Rd Ste 2100, Columbus, OH 43212-3154 | 2018-06-07 |
Find all providers in COLUMBUS |
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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.