DEREK MATTHEW BROWN (NPI# 1124348842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124348842 |
| Entity Type | Individual |
| Full Name | DEREK MATTHEW BROWN |
| Credential | D.O. |
| Practice Address |
1761 Beall Ave Suite 3b Wooster OH 44691-2342 |
| Practice Telephone | 3304627001 |
| Practice Fax Number | 3302638169 |
| Mailing Telephone | (330) 263-8763 |
| Mailing Fax Number | 3302638190 |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2017-09-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
34.010738 | OH | Allopathic & Osteopathic Physicians |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
34.010738 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0077411 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477938561 | Derek Brown | Community Based Residential Treatment Facility, Mental Illness | 13921 Yukon Ave, Hawthorne, CA 90250 | 2015-07-30 |
| 1518177260 | Derek Brian Brown | Social Worker | 240 E 4th St, Apt. 5d, New York, NY 10009-7404 | 2007-05-23 |
| 1659597524 | Derek Joseph Brown | Medical Genetics, Ph.D. Medical Genetics | 1301 W 12th Ave Ste 301c, Emporia, KS 66801-2589 | 2007-04-18 |
| 1710032479 | Derek John Brown | Dentist | 1133 N Walton Blvd Ste A, Bentonville, AR 72712-4164 | 2007-01-24 |
| 1598827115 | Derek Alden Brown | Chiropractor | 210 N Norwood Dr, Hurst, TX 76053 | 2006-12-14 |
| 1184252785 | Derek Wayne Brown | Student in an Organized Health Care Education/Training Program | 1438 S Grand Blvd, Saint Louis, MO 63104-1027 | 2020-03-30 |
| 1508410200 | Derek L. Brown | Physical Therapy Assistant | 160 Pedro Way, Winchester, KY 40391-8354 | 2019-07-31 |
| 1275185795 | Derek Brown | Pharmacist | 8607 Santa Monica Blvd, West Hollywood, CA 90069-4109 | 2019-07-15 |
| 1740706100 | Derek Len Brown | Counselor | 1731 W Walnut Ave, Visalia, CA 93277-6232 | 2017-08-17 |
| 1447691357 | Derek Brown | Emergency Medicine | 3551 Roger Brooke Dr, San Antonio, TX 78234-4504 | 2013-07-09 |
| Street Address |
1761 BEALL AVE SUITE 3B |
| City | WOOSTER |
| State | OH |
| Zip Code | 44691-2342 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437156247 | City of Wooster | General Acute Care Hospital | 1761 Beall Ave, Wooster, OH 44691-2342 | 2005-07-07 |
| 1073137048 | Vickie Lyn Heath | Registered Nurse | 1761 Beall Ave, Wooster, OH 44691-2342 | 2020-06-04 |
| 1730703737 | Amie Renee Spicocchi | Registered Nurse | 1761 Beall Ave, Wooster, OH 44691-2342 | 2020-06-04 |
| 1700409752 | Nicole Sword | Registered Nurse | 1761 Beall Ave, Wooster, OH 44691-2342 | 2020-05-26 |
| 1831727452 | Paul W Aslanides | Nurse Practitioner | 1761 Beall Ave, Wooster, OH 44691-2342 | 2020-03-30 |
| 1154960581 | Brittany Paul | Dietitian, Registered | 1761 Beall Ave, Wooster, OH 44691-2342 | 2020-01-02 |
| 1043857279 | Anna Kathryn Gest | Dietitian, Registered | 1761 Beall Ave, Wooster, OH 44691-2342 | 2019-12-06 |
| 1568009298 | Sarah Ickes | Pharmacist | 1761 Beall Ave, Wooster, OH 44691-2342 | 2019-12-02 |
| 1346887197 | Cheryl Sue Mast | Pharmacist | 1761 Beall Ave, Wooster, OH 44691-2342 | 2019-11-27 |
| 1437795275 | Susan Mcilvaine | Pharmacist | 1761 Beall Ave, Wooster, OH 44691-2342 | 2019-11-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285296426 | Teddi Lynn Beun | Home Health Aide | 337 West North Street, Suite 1, Wooster, OH 44691 | 2019-07-08 |
| 1285102418 | Samantha M Rodman | Case Manager/Care Coordinator | 2858 Back Orrville Road, Wooster, OH 44691 | 2018-11-06 |
| 1205347028 | Progressive Wooster LLC | Skilled Nursing Facility | 1700 E Smithville Wester Rd, Wooster, OH 44691 | 2017-10-19 |
| 1619357563 | Michelle L Morton | Counselor | 439 N Market St Ste B, Wooster, OH 44691 | 2015-06-05 |
| 1003295502 | Walter Blair Geho | Internal Medicine | 533 Beechwood Street, Wooster, OH 44691 | 2015-05-29 |
| 1578960589 | Beth Gaubatz | Psychologist | 375 South Smyser Road, Wooster, OH 44691 | 2014-11-20 |
| 1184039729 | Diane Woodruff | Licensed Practical Nurse | 1605 Lemar Dr, Wooster, OH 44691 | 2014-06-23 |
| 1003257312 | Stacy Marie Scheibert | Licensed Practical Nurse | 639 Robinson Road, Wooster, OH 44691 | 2013-07-15 |
| 1487905972 | Judy Kropf | Counselor | 104 Spink Street, Wooster, OH 44691 | 2012-09-25 |
| 1295080752 | Brittany J Mowrer | Home Health Aide | 3570 W Smithville Western Rd, Wooster, OH 44691 | 2012-07-19 |
| Find all providers in zip 44691 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487620910 | Robert V Sibilia | Internal Medicine | 324 E Milltown Road, Suite A, Wooster, OH 44691-1248 | 2006-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326672171 | National Lung and Sleep Medicine LLC | Internal Medicine | 1695 Big Bear Dr, Centerville, OH 45458-3692 | 2020-03-02 |
| 1588225932 | Summa Physicians Inc | Internal Medicine | 1700 Boettler Rd Ste 250, Uniontown, OH 44685-6211 | 2019-06-26 |
| 1144726605 | Venkataramanaiah Pulivarthi | Internal Medicine | 7976 Ravine Run Ln, Columbus, OH 43235-6454 | 2018-04-03 |
| 1407378409 | Francisco A. Mateo, M.d. Inc. | Internal Medicine | 2094 E State St Ste G, Salem, OH 44460-4409 | 2017-07-11 |
| 1134520992 | Eduardo Caspe Casalmir | Internal Medicine | 1551 Shore Woods Dr, Dayton, OH 45459-1474 | 2014-09-11 |
| 1215359807 | William Schlechter | Internal Medicine | 7056 Royalgreen Dr, Cincinnati, OH 45244-3621 | 2014-01-15 |
| 1174814271 | Morisetty Medical Associates, Inc. | Internal Medicine | 1 Ross Park Blvd Ste G-3, Steubenville, OH 43952-2681 | 2011-04-22 |
| 1053636944 | Tejinder Singh Bal | Internal Medicine | 3642 Tippecanoe Pl, Canfield, OH 44406-9531 | 2010-04-02 |
| 1902131071 | Michael William Craig | Internal Medicine | 4482 Blairgowrie Cir, Dayton, OH 45429-1853 | 2009-10-07 |
| 1518195478 | Integrated Health Services Management | Internal Medicine | 6820 Ridge Rd Ste 204, Parma, OH 44129-5647 | 2009-06-30 |
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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.