Mark D Deboer
MD | Pediatric Endocrinology | Male
Mark D Deboer, MD is a Charlottesville, Virginia based Pediatric doctor with medical specialization in
Pediatric Endocrinology.
Current practice location of Mark D Deboer is
1204 W Main St, Charlottesville, Virginia - 22903-2824. He can be contacted on phone at
434-924-0123 and fax number 434-243-3300.
Mark D Deboer is a sole proprietor of his business.
NPI number (Unique professional ID) for Mark D Deboer is
1730100868 which was assigned by NPPES on 22 Jul, 2006 and it was last updated on 30 Jul, 2021.
Mark D Deboer license number is
0101232515 for Pediatrics Pediatric Endocrinology (2080P0205X) in Virginia.
Mark D Deboer provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.
Complete Profile:
Mark D Deboer basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Endocrinology |
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| Provider Name : | Mark D Deboer |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Mark D Deboer 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 : | 1204 W Main St
Charlottesville, VA, 22903-2824
United States |
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| Phone Number : | 434-924-0123 |
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| Fax Number : | 434-243-3300 |
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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 : | 1730100868 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 22 Jul, 2006 |
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| Last Updated On : | 30 Jul, 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 Mark D Deboer are as mentioned. Primary taxonomy code for Mark D Deboer, MD is
2080P0205X (Pediatrics Pediatric Endocrinology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0205X | Pediatrics Pediatric Endocrinology | Yes | 0101232515 | VA |
Legacy Identifiers:
Other legacy medical identifiers of Mark D Deboer such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 1730100868 | MEDICAID | VA | |
| 232445 | MEDICAID | OR | |
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) | mdeboer6468@direct.healthsystem.virginia.edu
| No affiliation | DIRECT
Direct
|
| 1204 W MAIN ST,
CHARLOTTESVILLE, VA, 22903-2824
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 : | Po Box 9007
Charlottesville, VA, 22906-9007
United States |
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Business Location:
Patients can refer following map for directions to
Mark D Deboer practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.