Jose Javier Derdoy
MD | Pediatric Gastroenterology | Male
Jose Javier Derdoy, MD is a Saint Louis, Missouri based Pediatric doctor with medical specialization in
Pediatric Gastroenterology.
Current practice location of Jose Javier Derdoy is
615 S New Ballas Rd, Children's Hospital, Ground Floor, Suite Yg220, Saint Louis, Missouri - 63141-8221. He can be contacted on phone at
314-251-5550 and fax number 314-251-5552.
Jose Javier Derdoy is a sole proprietor of his business.
NPI number (Unique professional ID) for Jose Javier Derdoy is
1396838876 which was assigned by NPPES on 02 Oct, 2006 and it was last updated on 08 Jan, 2015.
Jose Javier Derdoy license number is
2007002166 for Pediatrics Pediatric Gastroenterology (2080P0206X) in Missouri.
Jose Javier Derdoy specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
Complete Profile:
Jose Javier Derdoy basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Gastroenterology |
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| Provider Name : | Jose Javier Derdoy |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Jose Javier Derdoy 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 : | 615 S New Ballas Rd, Children's Hospital, Ground Floor, Suite Yg220
Saint Louis, MO, 63141-8221
United States |
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| Phone Number : | 314-251-5550 |
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| Fax Number : | 314-251-5552 |
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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 : | 1396838876 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 02 Oct, 2006 |
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| Last Updated On : | 08 Jan, 2015 |
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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 Jose Javier Derdoy are as mentioned. Primary taxonomy code for Jose Javier Derdoy, MD is
2080P0206X (Pediatrics Pediatric Gastroenterology).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 174400000X | Specialist | No | 430654872 | MO |
| 2080P0206X | Pediatrics Pediatric Gastroenterology | Yes | 2007002166 | MO |
Legacy Identifiers:
Other legacy medical identifiers of Jose Javier Derdoy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 1396838876 | MEDICAID | MO | |
| 00A730200 | MEDICAID | CA | |
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 : | 615 S New Ballas Rd, Children's Hospital, Ground Floor, Suite Yg220
Saint Louis, MO, 63141-8221
United States |
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| Phone Number : | 314-251-5550 |
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| Fax Number : | 314-251-5552 |
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Business Location:
Patients can refer following map for directions to
Jose Javier Derdoy practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.