DR. JENNIFER SHULER DERAMO


Address: 5323 Harry Hines Boulevard, Dallas, TX 75390-7208
Phone: 2144567000

DR. JENNIFER SHULER DERAMO (NPI# 1063717551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063717551
Entity Type Individual
Full Name DR. JENNIFER SHULER DERAMO
Other Name DR. JENNIFER LYNN SHULER
Credential MD
Practice Address 5323 Harry Hines Boulevard
Dallas
TX 75390-7208
Mailing Address P.o. Box 845347
Dallas
TX 75284-5347
Practice Telephone 2144567000
Practice Fax Number 2144568132
Mailing Telephone 2144567000
Mailing Fax Number 2144568132
Enumeration Date 2011-01-14
Last Update Date 2016-09-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0204X Pediatrics
Specialization: Pediatric Emergency Medicine
Q5996 TX Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 5323 HARRY HINES BOULEVARD
City DALLAS
State TX
Zip Code 75390-7208

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558365510 David Edward Rogers Obstetrics & Gynecology 5323 Harry Hines Boulevard, Dallas, TX 75390-7208 2005-06-08
1558986273 Lauren Bell Student in an Organized Health Care Education/Training Program 5323 Harry Hines Boulevard, Dallas, TX 75390-7200 2020-06-09
1881214070 Rosalina Magalhaes Pereira Student in an Organized Health Care Education/Training Program 5323 Harry Hines Boulevard, Dallas, TX 75390 2020-04-17
1124647367 Emma Lucille Van Winkle Student in an Organized Health Care Education/Training Program 5323 Harry Hines Boulevard, Dallas, TX 75390-9109 2020-04-08
1902434061 Nicholas Cain Boswell Student in an Organized Health Care Education/Training Program 5323 Harry Hines Boulevard, Dallas, TX 75390 2020-04-01
1063040566 Jeffrey Isaac Traylor Student in an Organized Health Care Education/Training Program 5323 Harry Hines Boulevard, Dallas, TX 75390 2020-03-30
1639706245 Sarah Reddy Student in an Organized Health Care Education/Training Program 5323 Harry Hines Boulevard, Dallas, TX 75390 2020-03-24
1427603273 Molly Bryant Nurse Practitioner 5323 Harry Hines Boulevard, Dallas, TX 75390-9257 2019-08-08
1316509995 Emily Wong Student in an Organized Health Care Education/Training Program 5323 Harry Hines Boulevard, Dallas, TX 75390 2019-07-03
1548822463 Neha Hanoman Rajput Student in an Organized Health Care Education/Training Program 5323 Harry Hines Boulevard, Dallas, TX 75390 2019-07-01
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1467075655 Richard Mark Bresler Student in an Organized Health Care Education/Training Program 5323 Harry Hines Blvd, Mc9159, Dallas, TX 75390 2020-05-21
1356970735 Fabricio Stewan Feltrin Student in an Organized Health Care Education/Training Program 5323 Harry Hynes Boulevard, Dallas, TX 75390 2020-04-07
1477016467 Seagal Raza Dauglas Student in an Organized Health Care Education/Training Program 5323 Harry Hines Mc9159, Dallas, TX 75390 2019-04-08
1831674340 Adwoa Aninkorah Nurse Practitioner Ut Southwestern Medical Center 5151 Harry Hines Blvd, Dallas, TX 75390 2018-10-01
1194212712 Christian Lobue Clinical Neuropsychologist 6333 Forest Park Road, 1st Floor, Bla 100, Dallas, TX 75390 2018-04-19
1912439720 Linsey Lindley Student in an Organized Health Care Education/Training Program 5939 Harry Hines Blvd 4th Floor Suite 100, Dallas, TX 75390 2017-03-30
1043759418 Alyssa Macchiaroli Registered Nurse 5323 Harry Hines Blvd Mail Code 8590, Dallas, TX 75390 2017-02-18
1609313980 Megan Rasmussen Bollner Physician Assistant 5303 Harry Hines Blvd Fl 9, Dallas, TX 75390 2017-01-25
1518329168 Danny Hsu Yang Hospitalist 6201 Harry Hines Blved, Dallas, TX 75390 2016-03-23
1780046532 Omer Mirza Hospitalist 6201 Harry Hines Blvd Dallas, Dallas, TX 75390 2016-03-22
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Taxonomy Information

Taxonomy Code 2080P0204X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Emergency Medicine

Taxonomy Definition

A pediatrician who has special qualifications to manage emergencies in infants and children.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285017343 Leilani So Wiltz Pediatrics 3 Abbotsford Court, Dallas, TX 75225 2015-07-07
1386059087 Asha Tharayil Pediatrics 5323 Harry Hines Blvd Stop 7200, Dallas, TX 75390-4637 2014-06-23
1639445943 Jeannette You-jin Dodson Pediatrics 1935 Medical District Dr, Graduate Medical Education, Dallas, TX 75235 2012-03-30
1881960805 Charles G. Knox Pediatrics 7777 Forest Ln, Dallas, TX 75230 2012-03-23
1902194723 Faisalmohemed Patel Pediatrics 5323 Harry Hines Boulevard, Dallas, TX 75390-7201 2011-07-13
1205128485 Ngoc Le Van Horn Pediatrics 5323 Harry Hines Boulevard, Dallas, TX 75390-7201 2011-05-06
1285959205 Elaine Chiu Walters Pediatrics 5323 Harry Hines Blvd, Dallas, TX 75390-7201 2010-04-01
1518281054 Kevin Joseph Barnes Pediatrics 5201 Harry Hines Blvd, Graduate Medical Education, Dallas, TX 75390-7201 2010-03-25
1821312794 Victoria Scott Yang Pediatrics 5323 Harry Hines Blvd, Dallas, TX 75390-7201 2010-03-22
1528244233 Jendi Lyn Haug Pediatrics 5323 Harry Hines Blvd., Dallas, TX 75390-7208 2008-01-11
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Competitor

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City DALLAS
Zip Code 75390

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Dataset Information

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.

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