Marvin J. Derrick in Urbana - Thoracic Surgery (cardiothoracic Vascular Surgery)
Marvin J. Derrick - NPI 1497855886
Marvin J. Derrick is a Thoracic Surgery (cardiothoracic Vascular Surgery) in Urbana, Illinois. Marvin J. Derrick practices all healthcare services and medical treatments related to Thoracic Surgery (cardiothoracic Vascular Surgery). The NPI Number for Marvin J. Derrick is 1497855886. The last update date is 2021-10-06.
Marvin J. Derrick's current location address is 611 W Park St, Urbana, Illinois. You can contact this provider via phone number 2179047000 and fax number 2179047748. The mailing address for Marvin J. Derrick is 611 W Park St, Urbana, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marvin J. Derrick |
|---|---|
| Address | 611 W Park St, Urbana, Illinois |
| Phone Number | 2179047000 |
| Fax Number | 2179047748 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1497855886 |
|---|---|
| Provider Enumeration Date | 2006-09-25 |
| Last Updated Date | 2021-10-06 |
Provider Mailing Address Detail
| Address | 611 W Park St |
|---|---|
| City | Urbana |
| State | Illinois (IL) |
| Post Code | 618012529 |
| Phone Number | 2179047000 |
| Fax Number | 2179047748 |
Provider's Primary Taxonomy Detail
| Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
|---|---|
| Taxonomy | 208G00000X |
| Licence No | G47855 |
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Definition: A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities |
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Post Comment/ Review Below
What is the unique identifier code issued to Marvin J. Derrick by the Centers for Medicare & Medicaid Services?
The Marvin J. Derrick has been assigned the NPI (National Provider Identifier) 1497855886. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Marvin J. Derrick?
The Marvin J. Derrick is situated at 611 W Park St, in the city of Urbana, state of IL, with the zip code 618012529.
What is Marvin J. Derrick's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Marvin J. Derrick is Thoracic Surgery (cardiothoracic Vascular Surgery), and the taxonomy code that categorizes this field of expertise is 208G00000X.
When did Marvin J. Derrick receive its 1497855886 assignment?
The Marvin J. Derrick was assigned its 1497855886 on 2006-09-25, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Marvin J. Derrick, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Marvin J. Derrick, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-10-06.
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