DEVERICK JOHN ANDERSON (NPI# 1396802534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396802534 |
| Entity Type | Individual |
| Full Name | DEVERICK JOHN ANDERSON |
| Credential | MD |
| Practice Address |
4101 N Roxboro St Durham NC 27704-2121 |
| Practice Telephone | 9196848111 |
| Mailing Telephone | 9196848111 |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2007-10-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA | FA0081353 | 01 |
| Street Address |
4101 N ROXBORO ST |
| City | DURHAM |
| State | NC |
| Zip Code | 27704-2121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700884749 | Mariam Susan Latuga | Pediatrics | 4101 N Roxboro St, Durham, NC 27704-2121 | 2005-07-13 |
| 1265559660 | Susan E. Totten | Dietitian, Registered | 4101 N Roxboro St, Durham, NC 27704-2121 | 2007-03-23 |
| 1588789929 | Perri Anne Morgan | Physician Assistant | 4101 N Roxboro St, Durham, NC 27704-2121 | 2007-03-21 |
| 1629106687 | Melissa Merrill Burkett | Nurse Practitioner | 4101 N Roxboro St, Durham, NC 27704-2121 | 2007-03-01 |
| 1669516720 | Elisabeth A Smith | Psychiatry & Neurology | 4101 N Roxboro St, Durham, NC 27704-2121 | 2007-02-20 |
| 1932243995 | Kelly Ann Asher | Physician Assistant | 4101 N Roxboro St, Durham, NC 27704-2121 | 2007-02-16 |
| 1386783454 | Maria Baird Plentl | Nurse Practitioner | 4101 N Roxboro St, Durham, NC 27710-0001 | 2007-02-06 |
| 1588717037 | Debra Kohlman-trigoboff | Nurse Practitioner | 4101 N Roxboro St, Durham, NC 27704-2121 | 2007-01-19 |
| 1700937760 | Melanie Hicks Meadows | Nurse Practitioner | 4101 N Roxboro St, Durham, NC 27704-2121 | 2007-01-16 |
| 1659422608 | Jennifer Annette Tenhover | Nurse Practitioner | 4101 N Roxboro St, Durham, NC 27704-2121 | 2007-01-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245723139 | Devang Ashokbhai Patel | Dentist | 2609 N Duke St Ste 618, Durham, NC 27704 | 2018-06-14 |
| 1891201042 | Little Family Care Home, LLC | Custodial Care Facility | 1012 Davinci Street, Durham, NC 27704 | 2017-12-26 |
| 1033625702 | Tondra A Little | Social Worker | 2804 Nellowood Street, Durham, NC 27704 | 2017-12-18 |
| 1437502408 | Jhazmere Shamas Preston | Counselor | 2609 N. Duke St. Suite 403, Durham, NC 27704 | 2016-07-14 |
| 1649626656 | Professional Elevations Pllc | Case Manager/Care Coordinator | 304 Crutchfield Drive, Durham, NC 27704 | 2016-05-09 |
| 1083071617 | Alyssa Wilson | Speech-Language Pathologist | 215 William Penn Plz Apt 908, Durham, NC 27704 | 2016-01-27 |
| 1932565124 | Arthur Reynolds Jr and Associates P.l.l.c. | Dentist | 2106 N Duke St, Durham, NC 27704 | 2016-01-05 |
| 1962877720 | Chimere Brooks | Contractor | 4001meriwether Drive Apt P-19, Durham, NC 27704 | 2015-12-04 |
| 1184013294 | Danielle King | Physician Assistant | 3611 N Duke Street, Durham, NC 27704 | 2015-01-13 |
| 1730581901 | Images, 'of Me To You' | Community/Behavioral Health | 2823 Cascadilla Street, Durham, NC 27704 | 2014-09-19 |
| Find all providers in zip 27704 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619243037 | Nicholas Andrew Turner | Internal Medicine | 40 Duke Medicine Cir # 1k, Durham, NC 27710-6155 | 2012-03-29 |
| 1174812432 | Christopher James Hostler | Internal Medicine | 508 Fulton St Bldg 1, Durham, NC 27705 | 2011-04-06 |
| 1043346877 | David Rizzieri | Internal Medicine | Dumc 3961, Durham, NC 27710-0001 | 2007-02-26 |
| 1750425724 | David Tulloch Durack | Internal Medicine | 1700 Woodstock Rd, Durham, NC 27705-5232 | 2007-02-16 |
| 1487717260 | John Perfect | Internal Medicine | 330 Trent Dr, 163 Hanes House, Durham, NC 27710-0001 | 2006-12-19 |
| 1578981023 | Lauren Frances Collins | Internal Medicine | 2301 Erwin Road, Durham, NC 27710 | 2014-04-02 |
| 1679839898 | Deng Buok Madut | Internal Medicine | 40 Duke Medicine Cir, Durham, NC 27710-4000 | 2012-04-02 |
| 1134419252 | Joshua Thomas Thaden | Internal Medicine | 40 Duke Medicine Circle, Clinic 1k, Durham, NC 27710 | 2011-04-11 |
| 1639469745 | Stacey Maskarinec | Internal Medicine | Duke University Medical Center 2301 Erwin Road, Durham, NC 27710-1736 | 2011-04-10 |
| 1235372822 | Kristen Virginia Dicks | Internal Medicine | 3643 N Roxboro St, Durham, NC 27704-2702 | 2009-04-12 |
| Find all providers in DURHAM | ||||
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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.