DR. VINCENT JAMES DERISIO (NPI# 1528370939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528370939 |
Entity Type | Individual |
Full Name | DR. VINCENT JAMES DERISIO |
Credential | M.D. |
Practice Address |
103 Kent Oaks Way Gaithersburg MD 20878-5609 |
Practice Telephone | 2406329336 |
Enumeration Date | 2010-07-14 |
Last Update Date | 2010-07-14 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207KA0200X |
Allergy & Immunology Specialization: Allergy |
D0056881 | MD | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427538701 | Vincent Derisio | Pathology | 42 E Laurel Rd, Stratford, NJ 08084-1354 | 2018-08-16 |
Street Address |
103 KENT OAKS WAY |
City | GAITHERSBURG |
State | MD |
Zip Code | 20878-5609 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841845351 | Advanced Practice Wellness, LLC | Nurse Practitioner | Washingtonian Blvd Ste 550, Gaithersburg, MD 20878 | 2019-08-02 |
1891253621 | Patricia Jeanette Engel | Speech-Language Pathologist | 851 Quince Orchard Blvd., Brown Station Es, Gaithersburg, MD 20878 | 2019-03-11 |
1093270340 | Adeola Atinuke Aremoh | Specialist | 652 Center Point Way, Gaithersburg, MD 20878 | 2019-01-31 |
1932606175 | Agnes H. Donahue | Dentist | 7 Melmark Ct, Gaithersburg, MD 20878 | 2018-04-12 |
1962903864 | Quince Orchard Dental Specialists LLC | Dentist | 849 Quince Orchard Blvd Ste E, Gaithersburg, MD 20878 | 2018-02-26 |
1366958654 | Pcd Orthodontics, LLC | Dentist | 11904-d Darnestown Road, North Potomac, MD 20878 | 2017-12-21 |
1235677139 | Gaithersburg Anesthesia, LLC | Anesthesiology | 900 Wind River Lane Ste 106, Gaithersburg, MD 20878 | 2017-02-10 |
1356884209 | Meaghan Hitt | Behavioral Analyst | 11333 Brandy Hall Ln, North Potomac, MD 20878 | 2016-11-27 |
1598215162 | Holly Akli Lcsw-c LLC | Social Worker | 9711 Washingtonian Blvd, Gaithersburg, MD 20878 | 2016-10-07 |
1891243390 | Darvin Joy | Pharmacist | 704 Quince Orchard Rd, Gaithersburg, MD 20878 | 2016-09-14 |
Find all providers in zip 20878 |
Taxonomy Code | 207KA0200X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Allergy & Immunology |
Specialization | Allergy |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801103072 | John R Bacon, Md, Pa | Allergy & Immunology | 120 Sister Pierre Dr Ste 201, Towson, MD 21204-7525 | 2010-09-08 |
1619280849 | Floyd Joseph Malveaux | Allergy & Immunology | 11910 Farside Rd, Ellicott City, MD 21042-1521 | 2010-07-16 |
1801081989 | Maadhava Ellaurie Md PC | Allergy & Immunology | 3450 Fort Meade Rd Ste 103, Laurel, MD 20724-2040 | 2007-09-11 |
1265639728 | Leon Kao | Allergy & Immunology | 19851 Observation Dr Ste 375, Germantown, MD 20876-4151 | 2007-06-28 |
1588869911 | Dara L Neuman-sunshine | Allergy & Immunology | 10025 Governor Warfield Parkway, Suite 410, Columbia, MD 21044 | 2007-06-16 |
1760506950 | Allergy & Asthma Inc | Allergy & Immunology | 801 Toll House Ave Bldg E, Frederick, MD 21701-4564 | 2007-03-16 |
1083624522 | Ava G Joubert | Allergy & Immunology | 13800 Mcmullen Hwy Sw, Cumberland, MD 21502-5622 | 2006-08-08 |
1962489260 | James Eric Nagel | Allergy & Immunology | 1309 Doves Cove Rd, Towson, MD 21286-1426 | 2005-12-28 |
1750367074 | Mary E Fontana-penn | Allergy & Immunology | 7939 Honeygo Blvd, Suite 219, Nottingham, MD 21236-4931 | 2005-12-19 |
1750362505 | Christopher Robert Martin | Allergy & Immunology | 8901 Rockville Picke Wrnmmc, Bethesda, MD 20889-0001 | 2005-11-09 |
Find all providers with the same taxonomy |
City | GAITHERSBURG |
Zip Code | 20878 |
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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.