DR. ANDREW JOSEPH DEROO (NPI# 1356587653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356587653 |
| Entity Type | Individual |
| Full Name | DR. ANDREW JOSEPH DEROO |
| Credential | MD |
| Practice Address |
43 New Scotlland Dr Mc-194 Albany NY 12208 |
| Practice Telephone | 5182620941 |
| Practice Fax Number | 5182624934 |
| Mailing Telephone | 5182620941 |
| Mailing Fax Number | 5182624934 |
| Enumeration Date | 2008-12-17 |
| Last Update Date | 2015-12-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
274678 | NY | Allopathic & Osteopathic Physicians |
| Y | 2086S0127X |
Surgery Specialization: Trauma Surgery |
274678 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
43 NEW SCOTLLAND DR MC-194 |
| City | ALBANY |
| State | NY |
| Zip Code | 12208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255959045 | Fatima Mahmood | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave, Department of Internal Medicine, Albany, NY 12208 | 2020-07-08 |
| 1861021784 | Jessica Anne Charles-larose | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept. of Family Medicine, Albany, NY 12208 | 2020-04-02 |
| 1235767211 | Michael Charles Harrington | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept. of Orthopedic Surgery, Albany, NY 12208 | 2020-03-27 |
| 1518594126 | Arkar Htoo | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept of Pathology, Albany, NY 12208 | 2020-03-24 |
| 1366079030 | Omar Merdan | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave, Dept of Medicine/pediatrics, Albany, NY 12208 | 2020-03-24 |
| 1306473079 | Sergo Gabunia | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept of General Surgery, Albany, NY 12208 | 2020-03-24 |
| 1205469392 | Cornell Andre Morris | Social Worker | Albany Stratton Va Medical Center, 113 Holland Avenue, Albany, NY 12208 | 2020-02-17 |
| 1558909234 | St. Peter's Health Partners Medical Associates, P.C. | Surgery | 319 South Manning Blvd Suite 310, Capital Region Colon & Rectal Surgery, Albany, NY 12208 | 2019-12-13 |
| 1912543265 | Meghan Rose Baxter | Social Worker | 58 Academy Rd., Albany, NY 12208 | 2019-11-21 |
| 1245883461 | Gwendolyn Medak | Registered Nurse | 15 New Scotland Ave, Albany, NY 12208 | 2019-07-17 |
| Find all providers in zip 12208 | ||||
| Taxonomy Code | 2086S0127X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Trauma Surgery |
| Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. |
| Notes: Source: American Board of Surgery, 2007 [1/1/2008: definition added, source added] Additional Resources: http://www.absurgery.org/. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164747390 | Travis Atkinson Arnold-lloyd | Surgery | 47 New Scotland Ave, Department of Surgery, Albany, NY 12208-3412 | 2010-03-31 |
| 1710917638 | Albany Medical College | Surgery | 47 New Scotland Ave, 61ge, Albany, NY 12208-3412 | 2006-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427410273 | Heiron Surgery Pllc | Surgery | 172 Kilburn Rd, Garden City, NY 11530-1328 | 2016-03-22 |
| 1316249766 | Akeem A. Atanda | Surgery | 1 Brookdale Plz Ste 222, Brooklyn, NY 11212-3139 | 2010-11-17 |
| 1548380488 | Manuel Alejandro Guerrero | Surgery | 350 Canal St, #700, New York, NY 10013-9400 | 2007-03-31 |
| 1639796568 | Health Quest Medical Practice, PC | Surgery | 159 Barnegat Rd, Poughkeepsie, NY 12601-5401 | 2020-06-26 |
| 1326599713 | Caitlin N Haenig | Surgery | 601 Elmwood Ave, Rochester, NY 14642 | 2016-10-20 |
| 1386005221 | Health Quest Medicao Practice, PC | Surgery | 21 Reade Pl, Suite 3100, Poughkeepsie, NY 12601-3912 | 2016-03-18 |
| 1336555721 | Boris Dimitrov Hristov | Surgery | 1 Brookdale Plz, Brooklyn, NY 11212-3139 | 2014-07-07 |
| 1053733998 | Polikseni Eksarko | Surgery | 101 Nicolls Rd, Hcs T18-040, Stony Brook, NY 11794-8191 | 2014-01-13 |
| 1881030500 | Crystal C Whitney | Surgery | 750 E Adams St, Syracuse, NY 13210-2342 | 2013-05-21 |
| 1033477427 | Ryan S Lindborg | Surgery | 1 Brookdale Plz, Brooklyn, NY 11212-3139 | 2012-04-24 |
| Find all providers with the same taxonomy | ||||
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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.