DR. JEFFREY MICHAEL DERBAS (NPI# 1811332380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811332380 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY MICHAEL DERBAS |
| Credential | M.D. |
| Practice Address |
6420 Clayton Rd Saint Louis MO 63117 |
| Mailing Address |
1 Independence Pt Ste 212 Greenville SC 29615-4536 |
| Practice Telephone | 3147688778 |
| Enumeration Date | 2013-05-09 |
| Last Update Date | 2018-07-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P0004X |
Physical Medicine & Rehabilitation Specialization: Spinal Cord Injury Medicine |
61232 | SC | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6420 Clayton Rd, Saint Louis, MO 631171811 | 3147688778 |
| Street Address |
6420 CLAYTON RD |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649276874 | Lynn A Whitmer | Anesthesiology | 6420 Clayton Rd, Saint Louis, MO 63117-1811 | 2005-06-22 |
| 1477162147 | James Unverferth | Pharmacist | 6420 Clayton Rd, Saint Louis, MO 63117-1811 | 2020-07-28 |
| 1184248395 | Anna Petrovna Puzyrkova | Student in an Organized Health Care Education/Training Program | 6420 Clayton Rd, Saint Louis, MO 63117-1811 | 2020-06-03 |
| 1376163261 | Md S Ali | Student in an Organized Health Care Education/Training Program | 6420 Clayton Rd, Saint Louis, MO 63117-1811 | 2020-04-21 |
| 1992324214 | Avi Gandhi | Student in an Organized Health Care Education/Training Program | 6420 Clayton Rd, Saint Louis, MO 63117-1811 | 2020-04-16 |
| 1205456597 | Faisal Akasha Ramadan Sakeen | Internal Medicine | 6420 Clayton Rd, Saint Louis, MO 63117-1811 | 2020-04-16 |
| 1255950796 | Saira Ibrahim | Student in an Organized Health Care Education/Training Program | 6420 Clayton Rd, Saint Louis, MO 63117-1811 | 2020-04-14 |
| 1023637568 | Max Harrison Rich | Student in an Organized Health Care Education/Training Program | 6420 Clayton Rd, Saint Louis, MO 63117-1811 | 2020-04-14 |
| 1386263879 | Sara Sartaj | Student in an Organized Health Care Education/Training Program | 6420 Clayton Rd, Saint Louis, MO 63117-1811 | 2020-04-14 |
| 1558980037 | Nedaa M. Husainat | Student in an Organized Health Care Education/Training Program | 6420 Clayton Rd, Saint Louis, MO 63117-1811 | 2020-04-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255956611 | Efehi Kelly Ogbomo | Student in an Organized Health Care Education/Training Program | 6420 Clayton Rd, Suite 2218, St. Louis, MO 63117 | 2020-06-11 |
| 1619533890 | Abdul Rauf | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road. Ssm Health St. Mary's Hospital, St. Louis, MO 63117 | 2019-05-14 |
| 1083278477 | Mohamed Maali Gumaa Mohamed | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road Ssm St. Mary's Hospital, Department of Internal Medicine, St. Louis, MO 63117 | 2019-05-01 |
| 1750945556 | Samrat Jun Jayanth | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road, Ssm Health St Mary's Hospital, St. Louis, MO 63117 | 2019-04-26 |
| 1215491329 | Latonya Allen | Counselor | 1612 S. Big Bend Blvd, St. Louis, MO 63117 | 2019-01-23 |
| 1265917025 | Blue Stars Therapy, LLC | Occupational Therapist | 1101 Edward Terrace, Apt A, St. Louis, MO 63117 | 2018-09-27 |
| 1770060014 | Ultra Care Home Services LLC | Home Health | 7353 Dale Ave, Saint Louis, MO 63117 | 2018-07-19 |
| 1235623562 | Melissa Valerie Taylor | Counselor | Psychological Services of St Louis, LLC, 7110 Oakland Ave, St Louis, MO 63117 | 2018-06-20 |
| 1124517289 | Jideofor Ebony Obodozie | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road, Ssm St. Mary's Hospital, St. Louis, MO 63117 | 2018-05-04 |
| 1770071706 | Sivaram Prabhuji Muppaneni | Student in an Organized Health Care Education/Training Program | Ssm St Mary's Hospital, 6420 Clayton Road, St. Louis, MO 63117 | 2018-04-25 |
| Find all providers in zip 63117 | ||||
| Taxonomy Code | 2081P0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Spinal Cord Injury Medicine |
| A physician who addresses the prevention, diagnosis, treatment and management of traumatic spinal cord injury and non-traumatic etiologies of spinal cord dysfunction by working in an interdisciplinary manner. Care is provided to patients of all ages on a lifelong basis and covers related medical, physical, psychological and vocational disabilities and complications. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. ACGME Accredited Residency Program Requirements: 1 year of training with 3-5 years in relevant specialty for a total of 4-6 years. ABMS Approved Subspecialty Certificate: (Physical Medicine and Rehabilitation) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013972702 | Jai S Park | Physical Medicine & Rehabilitation | 1 Jefferson Barracks Dr, Saint Louis, MO 63125-4181 | 2006-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639174659 | John D Mcgarry | Physical Medicine & Rehabilitation | 168 Industrial Dr, Medical Village Annex Building, Festus, MO 63028-4133 | 2005-06-16 |
| 1609427178 | Kelly Lynn Munson | Physical Medicine & Rehabilitation | 1 Jefferson Barracks Dr, Lemay, MO 63125-4181 | 2019-09-25 |
| 1952321580 | Pamela Sue Harris | Physical Medicine & Rehabilitation | 1500 Meadow Lake Pkwy Ste 200, Kansas City, MO 64114-1615 | 2006-07-19 |
| City | SAINT LOUIS |
| Zip Code | 63117 |
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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.