DR. ROBERTO A DEPETRIS


Address: 14300 Gallant Fox Lane, 122, Bowie, MD 20715
Phone: 3014640770

DR. ROBERTO A DEPETRIS (NPI# 1336231364) 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) 1336231364
Entity Type Individual
Full Name DR. ROBERTO A DEPETRIS
Credential MD
Practice Address 14300 Gallant Fox Lane
122
Bowie
MD 20715
Practice Telephone 3014640770
Practice Fax Number 3014641155
Mailing Telephone 3014640770
Mailing Fax Number 3014641155
Enumeration Date 2006-09-28
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
X 207R00000X Internal Medicine D19252 MD Allopathic & Osteopathic Physicians
X 207RP1001X Internal Medicine
Specialization: Pulmonary Disease
D19252 MD Allopathic & Osteopathic Physicians

Other Providers ROBERTO DEPETRIS

NPI Name Taxonomy Address Enumeration
1619312295 Roberto Nestor Depetris Acupuncturist 14300 Gallant Fox Ln, Bowie, MD 20715-4003 2013-05-08

Office Location

Street Address 14300 GALLANT FOX LANE
122
City BOWIE
State MD
Zip Code 20715

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417067216 Gerard P Champaloux Md Family Medicine 14300 Gallant Fox Lane, Suite 110, Bowie, MD 20715-4031 2006-08-30
1821550997 Ellen Narcisse Adams Physical Therapist 14300 Gallant Fox Lane, Suite 104, Bowie, MD 20715 2019-04-05
1285012989 Djls Therapy Services LLC Social Worker 14300 Gallant Fox Lane, Suite 115, Bowie, MD 20715 2015-05-13
1558486936 Taber Chiropractic, P.C. Chiropractor 14300 Gallant Fox Lane, Suite 201, Bowie, MD 20715-4003 2007-03-21
1902952955 Barbara R Champaloux Social Worker 14300 Gallant Fox Lane, #109, Bowie, MD 20715-4031 2007-01-25
1205938305 Gerard Champaloux Family Medicine 14300 Gallant Fox Lane, Suite 110, Bowie, MD 20715-4031 2006-09-01

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1104304757 Aynia V Dorsey Occupational Therapist 6915 Laurel Bowie Rd Ste 205b, Bowie, MD 20715 2018-08-04
1558852988 Dmv Foot and Ankle Center Podiatrist 15480 Annapolis Rd Ste 202-437, Bowie, MD 20715 2018-05-22
1861918435 Ryan Leigh Brown Psychologist 3231 Superior Lane, Suite, A6, Bowie, MD 20715 2017-08-16
1073060430 Chinwendu Ezeoru Nurse Practitioner 13004 Viewpoint Ln, Bowie, MD 20715 2016-09-02
1386094977 Harris Teeter LLC Durable Medical Equipment & Medical Supplies 15501 Annapolis Rd, Suite 400, Bowie, MD 20715 2016-06-15
1083003164 Megan Elizabeth Cooper Social Worker 2812 Bosworth Ln, Bowie, MD 20715 2015-01-13
1467856740 Nathan-todd Consulting Community/Behavioral Health 3231 Superior Court Lane,# A5, Bowie, MD 20715 2014-10-15
1841534468 Varsity Professional Rehabilitation and Staffing, LLC Physical Therapist 14000 Jericho Park Road, Bowie, MD 20715 2012-11-20
1013269893 Felix Chukwudi Ohams Registered Nurse 7613 Old Chapel Dr, Bowie, MD 20715 2012-10-04
1720336464 Tara Marie Hatfield Physical Therapist 100 Whitemarsh Park Drive, Bowie, MD 20715 2012-08-28
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427541838 Outreach Recovery II, LLC Internal Medicine 4201 Northview Dr Ste 104, Bowie, MD 20716 2018-06-11
1275083511 Silver Spring Medical Group LLC Internal Medicine 6915 Laurel Bowie Rd Ste 101, Bowie, MD 20715-1715 2016-10-11
1952689838 Nisha Nasir Qureshi Internal Medicine 13200 Anthem Greenfields Dr, Bowie, MD 20720-6330 2011-07-27
1649594623 Rachna Arora Internal Medicine 14300 Gallant Fox Ln Ste 222, Bowie, MD 20715-4033 2010-03-20
1205011640 Bowie Primary Care, Inc Internal Medicine 4379 Northview Drive, Bowie, MD 20716 2008-01-03
1124213459 Edwin Shadzeka Internal Medicine 4314 Rustling Leaves Ter, Bowie, MD 20716-3608 2007-09-10
1164546321 Howard Cook Internal Medicine 15107 Roving Wood Dr, Bowie, MD 20715-3373 2007-03-16
1558423822 Lakeside Medical Group-dr. Raj Chawla P.C. Internal Medicine 14300 Gallant Fox Ln Ste 210, Bowie, MD 20715-4033 2006-12-14
1003912742 Mariam Mcconnell Bahrami Internal Medicine 4379 Northview Dr, Bowie, MD 20716-2603 2006-09-16
1659488617 Dpinder Singh Internal Medicine 14300 Gallant Fox Ln Ste 124, Bowie, MD 20715-4031 2006-08-24
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City BOWIE
Zip Code 20715

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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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