DR. JAMES B. DEREN (NPI# 1053310078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053310078 |
| Entity Type | Individual |
| Full Name | DR. JAMES B. DEREN |
| Credential | M.D. |
| Practice Address |
1050 W Industrial Blvd Cumberland MD 21502-4331 |
| Practice Telephone | 2409649355 |
| Practice Fax Number | 2409649356 |
| Mailing Telephone | 2409649355 |
| Mailing Fax Number | 2409649356 |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2019-06-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | D0042053 | MD | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | D0042053 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0044030000 | 05 | |
| MD | TRAVELERS MEDICARE | 080100953 | 01 |
| DC | BLUE CHOICE | K029 0001 | 01 |
| MD | 751321600 | 05 | |
| MD | CAREFIRST BC BS | 53450104 | 01 |
| Street Address |
1050 W INDUSTRIAL BLVD |
| City | CUMBERLAND |
| State | MD |
| Zip Code | 21502-4331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780007443 | Western Maryland Pain & Rehabilitation Center LLC. | Clinic/Center | 1050 W Industrial Blvd, Cumberland, MD 21502-4331 | 2014-01-30 |
| 1255610580 | Anupama Shankar Khandare | Family Medicine | 1050 W Industrial Blvd, Cumberland, MD 21502-4331 | 2011-08-04 |
| 1548559545 | Vamsi Kanumuri | Preventive Medicine | 1050 W Industrial Blvd, Cumberland, MD 21502-4331 | 2011-03-31 |
| 1275850638 | Frances Weber | Nurse Practitioner | 1050 W Industrial Blvd, Cumberland, MD 21502-4331 | 2010-04-26 |
| 1083936629 | Upmc Western Maryland Corporation | Clinic/Center | 1050 W Industrial Blvd, Cumberland, MD 21502-4331 | 2010-02-24 |
| 1336374255 | Bhavani Vaddey | Family Medicine | 1050 W Industrial Blvd, South Cumberland Market Plc Primary Care, Cumberland, MD 21502-4331 | 2009-05-21 |
| 1962663880 | Erin Louise Meisel | Pharmacist | 1050 W Industrial Blvd, Suite 5, Cumberland, MD 21502-4331 | 2008-06-23 |
| 1952516296 | Western Maryland Health System Corporation | Hospice Care, Community Based | 1050 W Industrial Blvd, Cumberland, MD 21502-4331 | 2007-05-11 |
| 1821055393 | Upmc Western Maryland Corporation | Home Health | 1050 W Industrial Blvd, Cumberland, MD 21502-4331 | 2006-04-28 |
| 1457317455 | Upmc Western Maryland Corporation | Hospice Care, Community Based | 1050 W Industrial Blvd, Cumberland, MD 21502-4331 | 2006-04-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174141592 | Upmc Western Maryland Corporation | Clinic/Center | 10700 Leslie Lane, Cumberland, MD 21502 | 2020-07-13 |
| 1669934212 | Ultimate Hearing Solutions Vi, LLC | Durable Medical Equipment & Medical Supplies | 701 Park Street, Queen City Centre, Cumberland, MD 21502 | 2019-04-03 |
| 1114497070 | Dianne Liller | Speech-Language Pathologist | 200 Massachusetts Ave, Cumberland, MD 21502 | 2018-12-04 |
| 1386111409 | Rebecca Anne Stewart | Counselor | 217 Glenn Street, Suite 401, Cumberland, MD 21502 | 2018-10-26 |
| 1396222998 | Crystal Lynne Walls | Nurse Practitioner | Western Maryland Health System, 12500 Willowbrook Rd, Cumberland, MD 21502 | 2018-07-26 |
| 1841796554 | Joan Kathleen Hoban | Speech-Language Pathologist | Potomac Behavioral and Occupational Therapy, 240 Henderson Ave., Cumberland, MD 21502 | 2018-04-02 |
| 1760984447 | Christine T. Haines | Social Worker | 907 Seton Drive, Cumberland, MD 21502 | 2018-03-08 |
| 1033632328 | Nicole Mabury | Counselor | 12501 Willowbrook Road, Cumberland, MD 21502 | 2017-07-19 |
| 1073042479 | The Lions Center for Rehabilitation and Extended Care, Inc. | Skilled Nursing Facility | 901 Seton Drive, Cumberland, MD 21502 | 2017-06-08 |
| 1912446816 | Marina Hurst | Counselor | 10102 County Club Road Se, Cumberland, MD 21502 | 2017-02-13 |
| Find all providers in zip 21502 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770537888 | Vimala Arul Ranjithan | General Practice | 517 E Oldtown Rd Rear, Cumberland, MD 21502-3689 | 2006-05-22 |
| 1609315126 | Cpt, LLC | General Practice | 249 Henderson Ave, Cumberland, MD 21502-1638 | 2017-02-16 |
| 1912066044 | Paul Snow | General Practice | 124 W 3rd St, Cumberland, MD 21502 | 2006-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700490950 | Arlene Elizabeth George | General Practice | 1500 W Perimeter Rd Ste 4350, Jb Andrews, MD 20762-6604 | 2020-09-04 |
| 1891303038 | Lorenzo Leggio | General Practice | Nih/nida, Bayview Campus, Brc, 251 Bayview Boulevard, Room 01a844, Baltimore, MD 21224 | 2020-07-14 |
| 1548889447 | Canary Doctor LLC | General Practice | 8904 Maxwell Dr, Potomac, MD 20854-3124 | 2020-04-10 |
| 1083247894 | Medstar Medical Group II LLC | General Practice | 9101 Franklin Square Drive, Ste 200, Medical Arts Building, Baltimore, MD 21237-4072 | 2020-02-20 |
| 1881239838 | Avicention LLC | General Practice | 350c Fortune Ter # 227, Potomac, MD 20854-2980 | 2019-11-14 |
| 1972148963 | My Primary Care | General Practice | 826 Washington Rd Ste 110, Westminster, MD 21157-5779 | 2019-11-13 |
| 1619512837 | David Newsome | General Practice | 12305 Sandalwood Lane, Silver Spring, MD 20904 | 2019-11-12 |
| 1720623242 | Assured Access Medical Associates Inc. | General Practice | 7221 Hanover Pkwy Ste C, Greenbelt, MD 20770-2022 | 2019-11-07 |
| 1780240671 | Capstone Treatment Center, Inc | General Practice | 1133 E West Hwy Apt 204e, Silver Spring, MD 20910-4804 | 2019-05-15 |
| 1861058935 | Revive Treatment Center Inc | General Practice | 1133 E West Hwy Apt 1515w, Silver Spring, MD 20910-6833 | 2019-05-14 |
| Find all providers with the same taxonomy | ||||
| City | CUMBERLAND |
| Zip Code | 21502 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.