Derrek Massanari
MD | Pediatric Emergency Medicine | Male
Derrek Massanari, MD is a Aurora, Colorado based Pediatric doctor with medical specialization in
Pediatric Emergency Medicine.
Current practice location of Derrek Massanari is
13123 E 16th Ave, Aurora, Colorado - 80045-7106. He can be contacted on phone at
720-777-1234.
Derrek Massanari is a sole proprietor of his business.
NPI number (Unique professional ID) for Derrek Massanari is
1467560169 which was assigned by NPPES on 25 Aug, 2006 and it was last updated on 05 Dec, 2018.
Derrek Massanari license number is
DR.0044539 for Pediatrics Pediatric Emergency Medicine (2080P0204X) in Colorado.
Derrek Massanari has special qualifications to manage emergencies in infants and children.
Complete Profile:
Derrek Massanari basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Emergency Medicine |
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| Provider Name : | Derrek Massanari |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Derrek Massanari address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 13123 E 16th Ave
Aurora, CO, 80045-7106
United States |
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| Phone Number : | 720-777-1234 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1467560169 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 25 Aug, 2006 |
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| Last Updated On : | 05 Dec, 2018 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Derrek Massanari are as mentioned. Primary taxonomy code for Derrek Massanari, MD is
2080P0204X (Pediatrics Pediatric Emergency Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 208000000X | Pediatrics | No | 44539 | CO |
| 2080P0204X | Pediatrics Pediatric Emergency Medicine | Yes | DR.0044539 | CO |
Legacy Identifiers:
Other legacy medical identifiers of Derrek Massanari such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 28381360 | MEDICAID | CO | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 110429
Aurora, CO, 80042-0429
United States |
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| Phone Number : | 303-493-7000 |
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| Fax Number : | 303-493-7202 |
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Business Location:
Patients can refer following map for directions to
Derrek Massanari practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.