DR. ERIC DEROO (NPI# 1922395938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922395938 |
| Entity Type | Individual |
| Full Name | DR. ERIC DEROO |
| Credential | MD |
| Practice Address |
10550 Quivira Rd Ste 105 Overland Park KS 66215-2302 |
| Practice Telephone | 9134383833 |
| Practice Fax Number | 9134383832 |
| Mailing Telephone | 9134383833 |
| Mailing Fax Number | 9134383832 |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 0438782 | KS | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 12330 Metcalf Ave Ste 100, Overland Park, KS 662131301 | 9139513403 | 9139513406 |
| 20375 W 151st St Ste 201, Olathe, KS 660615360 | 9137822020 |
| Street Address |
10550 QUIVIRA RD STE 105 |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66215-2302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104442193 | Breanna Kay Bezona | Chiropractor | 13830 Sante Fe Trail Dr., St. 104, Lenexa, KS 66215 | 2020-06-25 |
| 1801458542 | Paula Aileen Rogers | Registered Nurse | 14831 W 95th Street, Lenexa, KS 66215 | 2019-07-02 |
| 1154988780 | Michelle Marie Magri | Counselor | 8645 Hauser Court, Lenexa, KS 66215 | 2019-05-20 |
| 1891267100 | Beulah Mathew | Physical Therapist | Lakeview Village, 9100 Park St., Lenexa, KS 66215 | 2018-12-27 |
| 1609350123 | Courtney Smith | Behavior Technician | 9340 Gillette St., Lenexa, KS 66215 | 2018-09-20 |
| 1588182398 | Tlc Medical Transport LLC | Non-emergency Medical Transport (VAN) | 14425 College Blvd, Suite 111, Lenexa, KS 66215 | 2017-08-31 |
| 1376991091 | Abbie Elizabeth Martin | Nurse Practitioner | 1220 W. 106th Street, Suite 230, Overland Park, KS 66215 | 2016-06-03 |
| 1093199051 | Janita-jade Coffey | Nurse Practitioner | 10600 Quivira Rd Ste 320, Overland Park, KS 66215 | 2015-07-18 |
| 1518349109 | Timothy James Kamerzell | Internal Medicine | 10601 Quivira Rd Ste 200, Overland Park, KS 66215 | 2015-06-19 |
| 1245633916 | Maria Kintu | Licensed Practical Nurse | 12316 W 79th Terr, Lenexa, KS 66215 | 2014-10-08 |
| Find all providers in zip 66215 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407806409 | Charles E. Bare II | Urology | 6909 Santa Fe Dr, Overland Park, KS 66204-1357 | 2006-05-11 |
| 1598731267 | Billy B. Perry | Urology | 6740 W 121st St Ste 350, Overland Park, KS 66209-2002 | 2006-02-23 |
| 1811989585 | Bradley E Davis | Urology | 10550 Quivira Rd, Ste 105, Overland Park, KS 66215-2306 | 2005-08-18 |
| 1164977138 | Roy K Oyer | Urology | 4601 W 109th St, Suite 314, Overland Park, KS 66211-1318 | 2016-08-19 |
| 1124482187 | Corporate Lakes Urology, LLC | Urology | 6740 W 121st St, Suite 350, Overland Park, KS 66209-2002 | 2016-04-06 |
| 1790011906 | Charles E. Bare II, M.d., P.a. | Urology | 6909 Santa Fe Dr, Overland Park, KS 66204-1357 | 2009-10-22 |
| 1871613992 | Sara Marie Hoestje | Urology | 10701 Nall Ave, Suite 100, Overland Park, KS 66211-1363 | 2007-03-30 |
| 1245249044 | Christian A Hettinger | Urology | 10701 Nall Ave Ste 100, Overland Park, KS 66211-1244 | 2006-08-08 |
| 1164453171 | Roy Kent Oyer | Urology | 4601 W 109th St, Ste 314, Overland Park, KS 66211-1315 | 2006-07-06 |
| 1922052505 | Urologic Surgery Associates, Pa | Urology | 10550 Quivira Rd, Ste 105, Overland Park, KS 66215-2306 | 2006-05-19 |
| Find all providers in OVERLAND PARK | ||||
| City | OVERLAND PARK |
| Zip Code | 66215 |
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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.