Mark Walter Deroo
MD | Pediatrics | Male
Mark Walter Deroo, MD is a Olathe, Kansas based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Mark Walter Deroo is
23450 College Blvd, Olathe, Kansas - 66061-8702. He can be contacted on phone at
913-764-7788 and fax number 913-764-6088.
Mark Walter Deroo is a sole proprietor of his business.
NPI number (Unique professional ID) for Mark Walter Deroo is
1982657516 which was assigned by NPPES on 17 May, 2006 and it was last updated on 19 Aug, 2011.
Mark Walter Deroo license number is
0427012 for Pediatrics (208000000X) in Kansas.
Mark Walter Deroo is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Mark Walter Deroo basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Mark Walter Deroo |
|---|
| Credential : | MD |
|---|
| Gender : | Male |
|---|
Business Address:
Mark Walter Deroo 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 : | 23450 College Blvd
Olathe, KS, 66061-8702
United States |
|---|
| Phone Number : | 913-764-7788 |
|---|
| Fax Number : | 913-764-6088 |
|---|
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 : | 1982657516 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 17 May, 2006 |
|---|
| Last Updated On : | 19 Aug, 2011 |
|---|
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 Walter Deroo are as mentioned. Primary taxonomy code for Mark Walter Deroo, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 0427012 | KS |
Legacy Identifiers:
Other legacy medical identifiers of Mark Walter Deroo such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 100293370E | MEDICAID | KS | |
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 : | 23450 College Blvd
Olathe, KS, 66061-8702
United States |
|---|
| Phone Number : | 913-764-7788 |
|---|
| Fax Number : | 913-764-6088 |
|---|
Business Location:
Patients can refer following map for directions to
Mark Walter Deroo 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.