Dr. Jeffrey Elting Deyo
MD, PHD | Pediatric Hematology-Oncology | Male
Dr. Jeffrey Elting Deyo, MD, PHD is a Baton Rouge, Louisiana based Pediatric doctor with medical specialization in
Pediatric Hematology-Oncology.
Current practice location of Dr. Jeffrey Elting Deyo is
8300 Constantin Blvd, Baton Rouge, Louisiana - 70809-3489. He can be contacted on phone at
225-763-6337 and fax number 225-374-4661.
Dr. Jeffrey Elting Deyo is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Jeffrey Elting Deyo is
1619962032 which was assigned by NPPES on 12 Sep, 2005 and it was last updated on 31 Aug, 2021.
Dr. Jeffrey Elting Deyo license number is
15187R for Pediatrics Pediatric Hematology-Oncology (2080P0207X) in Louisiana.
Dr. Jeffrey Elting Deyo is trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
Complete Profile:
Dr. Jeffrey Elting Deyo basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Hematology-Oncology |
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| Provider Name : | Dr. Jeffrey Elting Deyo |
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| Credential : | MD, PHD |
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| Gender : | Male |
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Business Address:
Dr. Jeffrey Elting Deyo 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 : | 8300 Constantin Blvd
Baton Rouge, LA, 70809-3489
United States |
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| Phone Number : | 225-763-6337 |
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| Fax Number : | 225-374-4661 |
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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 : | 1619962032 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 12 Sep, 2005 |
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| Last Updated On : | 31 Aug, 2021 |
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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 Dr. Jeffrey Elting Deyo are as mentioned. Primary taxonomy code for Dr. Jeffrey Elting Deyo, MD, PHD is
2080P0207X (Pediatrics Pediatric Hematology-Oncology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 15187R | LA |
| 2080P0207X | Pediatrics Pediatric Hematology-Oncology | Yes | 15187R | LA |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Jeffrey Elting Deyo such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 1193500 | MEDICAID | LA | |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
5000 AMBASSADOR CAFFERY PKWY STE 101,
LAFAYETTE, LA, 70508-6984
United States | LAFAYETTE, LA | 225-763-6337 |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | tdevraj64163@direct.casso.us.com
FMOLHS-Epic | No affiliation | DIRECT
Direct
| OTHER
Other
tdevraj64163@direct.casso.us.com | 8300 CONSTANTIN BLVD,
BATON ROUGE, LA, 70809-3489
United States |
FHIR
(FHIR URL) | https://epicproxy.et0830.epihosted.com/FHIRPoxy/api/FHIR/DSTU2/
FMOLHS FHIR URL | No affiliation | OTHER
Other
FHIR API | OTHER
Other
C-CDA | 8300 CONSTANTIN BLVD,
BATON ROUGE, LA, 70809-3489
United States |
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 : | 5959 S Sherwood Forest Blvd
Baton Rouge, LA, 70816-6038
United States |
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| Phone Number : | 225-526-0002 |
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| Fax Number : | 225-765-9196 |
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Business Location:
Patients can refer following map for directions to
Dr. Jeffrey Elting Deyo practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.