Jeffrey J Derr (NPI# 1063402402, PAC ID# 4284788738) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL MEDICINE AND REHABILITATION.
| Nation Provider ID (NPI) | 1063402402 |
| PAC ID by PECOS | 4284788738 |
| Professional Enrollment ID | I20120804000005 |
| Full Name | Jeffrey J Derr |
| Organization Legal Name | ST CLOUD HOSPITAL |
| Address |
2035 15th St N Suite 110 Saint Cloud MN 56303-1765 |
| Phone Number | 3202599375 |
| Gender | M |
| Medical School | UNIVERSITY OF MINNESOTA MEDICAL SCHOOL |
| Graduation Year | 1995 |
| Primary Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| Group Practice PAC ID | 4880594779 |
| Number of Group Practice Members | 142 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240036 | ST CLOUD HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1406 6th Ave N, Saint Cloud, MN 56303-1900 | 3202512700 | ST CLOUD HOSPITAL |
| 1900 Centracare Cir, Saint Cloud, MN 56303-5000 | 3202522422 | ST CLOUD HOSPITAL |
| 2035 15th St N, Suite 110, Saint Cloud, MN 56303-1765 | 3202599375 | ST CLOUD HOSPITAL |
| Organization Legal Name | ST CLOUD HOSPITAL |
| Physicians | 120 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kay Coapstick | Physical Therapy | St Cloud Hospital | 2035 15th St N, Suite 110, Saint Cloud, MN 56303-1765 |
| Troy A Scott | Family Medicine | St Cloud Hospital | 1572 County Rd, Suite 134, Saint Cloud, MN 56303-0346 |
| Theresa M Lau | Psychiatry | St Cloud Hospital | 2035 15th St N, Suite 110, Saint Cloud, MN 56303-1765 |
| Mary M Stuvland | Qualified Speech Language Pathologist | St Cloud Hospital | 2035 15th St N, Suite 110, Saint Cloud, MN 56303-1765 |
| Rebecca A Kastanek | Nurse Practitioner | St Cloud Hospital | 1406 6th Ave N, Saint Cloud, MN 56303-1900 |
| Michael R Schmidt | Physical Therapy | St Cloud Hospital | 2035 15th St N, Suite 110, Saint Cloud, MN 56303-1765 |
| Shaunte P Dwyer | Physical Therapy | St Cloud Hospital | 1301 33rd St S, Suite 210, Saint Cloud, MN 56301-9668 |
| Helen J Boit | Nurse Practitioner | St Cloud Hospital | 2035 15th St N, Suite 110, Saint Cloud, MN 56303-1765 |
| Lisa A Barker | Physical Therapy | St Cloud Hospital | 2035 15th St N, Suite 110, Saint Cloud, MN 56303-1765 |
| Cheryl J Benck | Occupational Therapy | St Cloud Hospital | 1301 33rd St S, Suite 210, Saint Cloud, MN 56301-9668 |
| Street Address |
2035 15TH ST N SUITE 110 |
| City | SAINT CLOUD |
| State | MN |
| Zip | 56303-1765 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kay Coapstick | Physical Therapy | St Cloud Hospital | 2035 15th St N, Suite 110, Saint Cloud, MN 56303-1765 |
| Theresa M Lau | Psychiatry | St Cloud Hospital | 2035 15th St N, Suite 110, Saint Cloud, MN 56303-1765 |
| Mary M Stuvland | Qualified Speech Language Pathologist | St Cloud Hospital | 2035 15th St N, Suite 110, Saint Cloud, MN 56303-1765 |
| Michael R Schmidt | Physical Therapy | St Cloud Hospital | 2035 15th St N, Suite 110, Saint Cloud, MN 56303-1765 |
| Helen J Boit | Nurse Practitioner | St Cloud Hospital | 2035 15th St N, Suite 110, Saint Cloud, MN 56303-1765 |
| Lisa A Barker | Physical Therapy | St Cloud Hospital | 2035 15th St N, Suite 110, Saint Cloud, MN 56303-1765 |
| Christopher B Miller | Radiation Oncology | St Cloud Hospital | 2035 15th St N, Suite 110, Saint Cloud, MN 56303-1765 |
| Donald J Jurgens | Hematology/oncology | St Cloud Hospital | 2035 15th St N, Suite 110, Saint Cloud, MN 56303-1765 |
| Amanda M Lingl | Occupational Therapy | St Cloud Hospital | 2035 15th St N, Suite 110, Saint Cloud, MN 56303-1765 |
| Kristin Lynn Mcnutt | Physician Assistant | St Cloud Hospital | 2035 15th St N, Suite 110, Saint Cloud, MN 56303-1765 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eugene J Beniek | Clinical Social Worker | 32104 Stearns County Rd, Suite 1, St Cloud, MN 56303 | |
| Troy A Payne | Sleep Medicine | Centracare Clinic | 1586 County Rd, Suite 134, Saint Cloud, MN 56303-0346 |
| Troy A Scott | Family Medicine | St Cloud Hospital | 1572 County Rd, Suite 134, Saint Cloud, MN 56303-0346 |
| Keith J Leavell | Critical Care (intensivists) | Centracare Clinic | 1586 County Rd, Suite 134, Saint Cloud, MN 56303-0346 |
| Piyush Das | General Practice | Centracare Clinic | 1586 County Rd, Suite 134, Saint Cloud, MN 56303-0346 |
| Paul M Wenner | Psychologist, Clinical | St Cloud Hospital | 1572 County Rd, Suite 134, Saint Cloud, MN 56303-0346 |
| Deborah A Scattarelli | Nurse Practitioner | Centracare Clinic | 1586 County Rd, Suite 134, Saint Cloud, MN 56303-0346 |
| Cathy S Klick | Nurse Practitioner | Centracare Clinic | 1586 County Rd, Suite 134, Saint Cloud, MN 56303-0346 |
| Barbara A Carver | Psychologist, Clinical | St Cloud Hospital | 1572 County Rd, Suite 134, Saint Cloud, MN 56303-0346 |
| Judith L Huber | Psychologist, Clinical | Catholic Charities of The Diocese of St Cloud | 911 - 18th St N, Saint Cloud, MN 56303-1203 |
| Find all physicians in zip 56303 | |||
| City | SAINT CLOUD |
| Zip Code | 56303 |
| Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| City + Specialty | SAINT CLOUD + PHYSICAL MEDICINE AND REHABILITATION |
Please comment or provide details below to improve the information on Jeffrey J Derr.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.