DR. CORMAC DERMITT DEPAN (NPI# 1588823421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588823421 |
| Entity Type | Individual |
| Full Name | DR. CORMAC DERMITT DEPAN |
| Credential | MD |
| Practice Address |
123 Summer St Worcester MA 01608-1216 |
| Practice Telephone | 5083683103 |
| Mailing Telephone | 5083683103 |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2011-07-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
246127 | MA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
123 SUMMER ST |
| City | WORCESTER |
| State | MA |
| Zip Code | 01608-1216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265434229 | Thom A. Tarquinio | Orthopaedic Surgery | 123 Summer St, Suite 320, Worcester, MA 01608-1216 | 2005-06-02 |
| 1396352092 | Arushi Sharma | Internal Medicine | 123 Summer St, Worcester, MA 01608-1216 | 2020-09-26 |
| 1134733280 | Freda Agyemang | Nurse Practitioner | 123 Summer St, Worcester, MA 01608-1216 | 2020-09-06 |
| 1316559305 | Bijay Khanal | Student in an Organized Health Care Education/Training Program | 123 Summer St, Worcester, MA 01608-1216 | 2020-08-20 |
| 1497367395 | Hajrah Ahsan | Student in an Organized Health Care Education/Training Program | 123 Summer St, Worcester, MA 01608-1216 | 2020-08-20 |
| 1205448487 | Sajjadh Mohamed Jawahar Ali | Internal Medicine | 123 Summer St, Worcester, MA 01608-1216 | 2020-08-19 |
| 1639781909 | Kamal Pokhrel | Student in an Organized Health Care Education/Training Program | 123 Summer St, Worcester, MA 01608-1216 | 2020-08-18 |
| 1366054637 | Regina Devi Shrestha | Student in an Organized Health Care Education/Training Program | 123 Summer St, Worcester, MA 01608-1216 | 2020-08-18 |
| 1912519489 | Mithun George Jacob | Internal Medicine | 123 Summer St, Worcester, MA 01608-1216 | 2020-08-17 |
| 1194336800 | Anil Phuyal | Internal Medicine | 123 Summer St, Worcester, MA 01608-1216 | 2020-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033721733 | Rebecca Smith Morgan | Physical Therapist | Easter Seals Massachusetts, 484 Main St, Worcester, MA 01608 | 2020-08-24 |
| 1083244057 | Marc Labb | Counselor | 25 Union St 3rd Floor, Worcester, MA 01608 | 2020-01-18 |
| 1154974145 | Shanil Shah | Student in an Organized Health Care Education/Training Program | St Vincent Hospital, Department of Internal Medicine, 123 Summer Street, Worcester, MA 01608 | 2019-07-19 |
| 1194377069 | Varun Kommalapati | Student in an Organized Health Care Education/Training Program | St Vincent Hospital, 123 Summer Street, Worcester, MA 01608 | 2019-07-11 |
| 1992361182 | Jenna Recko | Physical Therapy Assistant | Easter Seals of Massachusetts, 484 Main St, Worcester, MA 01608 | 2019-05-14 |
| 1619452646 | Kara Thompson | Registered Nurse | 100 Martin Luther King Jr Blvd, Worcester, MA 01608 | 2018-09-25 |
| 1427555325 | Baran Umut Vardar | Student in an Organized Health Care Education/Training Program | 123 Summer Street, Saint Vincent Hospital Radiology Dep, Worcester, MA 01608 | 2018-04-09 |
| 1609380765 | Mary Elizabeth O'donnell | Occupational Therapist | Easter Seals Ma, 484 Main Street, Worcester, MA 01608 | 2017-11-28 |
| 1093227316 | Oasis Home Care, LLC | Home Health | 340 Main St Ste 803, Worcester, MA 01608 | 2017-10-26 |
| 1912437500 | Peter A Rondon | Social Worker | 11 Sycamore Street, Worcester, MA 01608 | 2017-06-15 |
| Find all providers in zip 01608 | ||||
| Taxonomy Code | 207YX0905X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Otolaryngology/Facial Plastic Surgery |
| An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760961940 | New England Ear Nose & Throat/facial Plastic Surgery,p.c. | Otolaryngology | 198 Massachusetts Ave Ste 103, North Andover, MA 01845-4143 | 2018-08-09 |
| 1659583896 | Cape Cod Ear Nose and Throat Specialists Head and Neck Surgery PC | Otolaryngology | 65 Cedar Street, Hyannis, MA 02601-3009 | 2007-05-03 |
| 1295786465 | Colden & Seymour Ear Nose Throat & Allergy LLC | Otolaryngology | 1 Wallace Bashaw Way, Suite 3002, Newburyport, MA 01950-3875 | 2006-05-13 |
| 1962492090 | Greater Milford Ear Nose and Throat Head and Neck Surgery Inc | Otolaryngology | 42 Cape Rd, Milford, MA 01757-3292 | 2005-10-28 |
| 1316280886 | Louis F Insalaco | Otolaryngology | 41 Montvale Ave Ste 200, Stoneham, MA 02180-2445 | 2013-04-02 |
| 1568765394 | Charles River Ear, Nose & Throat Associates, P. C. | Otolaryngology | 67 Union St, Suite 306, Natick, MA 01760-7700 | 2010-12-16 |
| 1093041923 | David Kieff, Md, LLC | Otolaryngology | 65 Walnut St Ste 320, Wellesley, MA 02481-2118 | 2009-10-28 |
| 1063667046 | Cygnus Surgical | Otolaryngology | 158 Boston Post Rd, Weston, MA 02493-2543 | 2008-11-18 |
| 1396931044 | Robert A. Stern, M.d.pc | Otolaryngology | 11 Nevins St, Suite 504, Boston, MA 02135-3514 | 2007-09-17 |
| 1629268768 | Edward E Jacobs | Otolaryngology | 243 Charles St, 9th Floor, Boston, MA 02114-3002 | 2007-07-25 |
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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.