Kenneth P Depersio in Douglas - Orthopaedic Surgery
Kenneth P Depersio - NPI 1437125812
Kenneth P Depersio is a Orthopaedic Surgery in Douglas, Georgia. Kenneth P Depersio practices all healthcare services and medical treatments related to Orthopaedic Surgery. The NPI Number for Kenneth P Depersio is 1437125812. The last update date is 2023-03-07.
Kenneth P Depersio's current location address is 100 Doctors Dr Ste F, Douglas, Georgia. You can contact this provider via phone number 9123836575 and fax number 9123836476. The mailing address for Kenneth P Depersio is 100 Doctors Dr Ste F, Douglas, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth P Depersio |
|---|---|
| Address | 100 Doctors Dr Ste F, Douglas, Georgia |
| Phone Number | 9123836575 |
| Fax Number | 9123836476 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1437125812 |
|---|---|
| Provider Enumeration Date | 2006-02-27 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 100 Doctors Dr Ste F |
|---|---|
| City | Douglas |
| State | Georgia (GA) |
| Post Code | 315332211 |
| Phone Number | 9123836575 |
| Fax Number | 9123836476 |
Provider's Primary Taxonomy Detail
| Speciality | Orthopaedic Surgery |
|---|---|
| Taxonomy | 207X00000X |
| Licence No | 53329 |
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Definition: An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the car |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 341176 | GA | WELLCARE OF GEORGIA | |
| 904817618C | GA | -- | |
| 904817618D | GA | -- | |
| 956500 | GA | BCBS | |
| 205778734002 | TRICARE | ||
| GRP7930 | GA | MEDICARE GROUP # EFFECTIVE 02/ | |
| P00127268 | GA | RAILROAD MEDICARE | |
| 53329 | GA | MEDICAL LICENSE | |
| 53329 | GA | GA LICENSE |
Post Comment/ Review Below
What is the unique identifier code issued to Kenneth P Depersio by the Centers for Medicare & Medicaid Services (CMS)?
The Kenneth P Depersio has been assigned the NPI (National Provider Identifier) 1437125812. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Kenneth P Depersio's physical address?
The Kenneth P Depersio is physically located at 100 Doctors Dr Ste F, in the city of Douglas, GA, with the postal code 315332211.
What is Kenneth P Depersio's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kenneth P Depersio's specialized field of practice is Orthopaedic Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 207X00000X.
When did the Kenneth P Depersio receive its 1437125812?
The Kenneth P Depersio was issued its 1437125812 on 2006-02-27, which is the date when the organization was assigned this unique identifier.
As of what date were the Kenneth P Depersio's details last updated?
The information pertaining to the Kenneth P Depersio, including its address, specialty, and other details, was most recently updated on 2023-03-07.