LESLIE JOHN DERDEYN (NPI# 1831198209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831198209 |
| Entity Type | Individual |
| Full Name | LESLIE JOHN DERDEYN |
| Other Name | JOHN LESLIE DERDEYN |
| Credential | MD |
| Practice Address |
13737 Noel Rd Ste 1600 Attn Rays Dallas TX 75240-1374 |
| Practice Telephone | 3039338270 |
| Practice Fax Number | 3039338270 |
| Mailing Telephone | 3039338270 |
| Mailing Fax Number | 3039338270 |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2013-05-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
F3900 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 132261203 | 05 |
| Street Address |
13737 NOEL RD STE 1600 ATTN RAYS |
| City | DALLAS |
| State | TX |
| Zip Code | 75240-1374 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457973547 | Daniel Kwame Apau | Nurse Practitioner | 13737 Noel Rd Ste 1600, Dallas, TX 75240-1374 | 2020-05-11 |
| 1164938635 | Ehra Medical Services of Texas Pa | Emergency Medicine | 13737 Noel Rd Ste 1600, Dallas, TX 75240-1374 | 2017-12-20 |
| 1700319183 | Eugieneo Kandoth | Internal Medicine | 13737 Noel Rd Ste 1600, Dallas, TX 75240-1374 | 2017-04-04 |
| 1033565890 | Ifat Sattar | Emergency Medicine | 13737 Noel Rd Ste 1600, Dallas, TX 75240-1374 | 2016-05-11 |
| 1639533433 | Davina Whitehurst | Nurse Practitioner | 13737 Noel Rd Ste 1600, Dallas, TX 75240-1374 | 2016-04-07 |
| 1417315367 | Questcare Em Oklahoma LLC | Physician Assistant | 13737 Noel Rd Ste 1600, Dallas, TX 75240-1374 | 2016-02-07 |
| 1962860817 | Questcare Hospitalists Oklahoma LLC | Internal Medicine | 13737 Noel Rd Ste 1600, Dallas, TX 75240-1374 | 2016-02-07 |
| 1306201264 | Northwest Tucson Emergency Physicians PC | Emergency Medicine | 13737 Noel Rd Ste 1600, Dallas, TX 75240-1374 | 2015-12-20 |
| 1346625779 | David Wright Mcmillan | Nurse Practitioner | 13737 Noel Rd Ste 1600, Dallas, TX 75240-1374 | 2015-07-27 |
| 1770991648 | Idelle Taye | Nurse Practitioner | 13737 Noel Rd Ste 1600, Dallas, TX 75240-1374 | 2014-07-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104469824 | Amber Christine Wrye | Counselor | 5433 Alpha Rd, Dallas, TX 75240 | 2019-10-25 |
| 1134610934 | Kristen Cairns | Counselor | 13140 Coit Rd # 328, Dallas, TX 75240 | 2018-05-29 |
| 1255821435 | Axiom Health Services, LLC | Specialist/Technologist, Other | 5422 Alpha Rd, Dallas, TX 75240 | 2018-05-14 |
| 1114438991 | Donald R Missel | Nurse Anesthetist, Certified Registered | 6606 Lbj Freeway, Suite 200, Dallas, TX 75240 | 2017-10-19 |
| 1689119307 | Ginger Lee Hagood | Counselor | 5580 Lbj Freeway, Suite 300, Dallas, TX 75240 | 2017-01-04 |
| 1831565712 | Stella I Clark | Nurse's Aide | 7373 Valley View Ln #2065, Dallas, TX 75240 | 2015-08-14 |
| 1790163608 | Shana Lynn Gangi | Social Worker | 13601 Preston Rd Ste W970, Dallas, TX 75240 | 2015-05-12 |
| 1134527096 | Jahvel Thompson | Physician Assistant | 8112 W. Spring Valley Rd., Dallas, TX 75240 | 2014-12-09 |
| 1295137396 | Rineil Francis Perez | Pharmacist | 13131 Monfort Dr, Dallas, TX 75240 | 2014-09-19 |
| 1255731311 | Arturo Ojeda | Counselor | 13140 Coit Rd Ste 326, Dallas, TX 75240 | 2014-08-26 |
| Find all providers in zip 75240 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174131049 | Specialty Imaging Consultants LLC | Radiology | 4320 Westway Ave, Dallas, TX 75205-3728 | 2020-07-16 |
| 1356827653 | Quantum Medical Radiology of California, P.C. | Radiology | 2700 Milton Ave, Dallas, TX 75205-1521 | 2018-07-19 |
| 1033605373 | James Sherman Mckoy | Radiology | 45oo S Lancaster Rd, Dallas, TX 75216 | 2018-07-10 |
| 1902304785 | Century Radiology Medical Group Inc | Radiology | 7204 Blairview Dr, Dallas, TX 75230-5415 | 2018-01-26 |
| 1013359678 | Bassett B. Kilgore | Radiology | 2721 Rosedale Ave, Dallas, TX 75205-1528 | 2013-07-24 |
| 1477814085 | Marco Da Cunha Pinho | Radiology | 5323 Harry Hines Boulvard, Dallas, TX 75390-7201 | 2012-05-31 |
| 1336416106 | Omega Neurological Associates LLC | Radiology | 3109 Knox St, Suite 747, Dallas, TX 75205-4029 | 2011-11-22 |
| 1285917195 | Julia Grossman | Radiology | 6726 Shell Flower Ln, Dallas, TX 75252-5940 | 2011-09-27 |
| 1548574148 | Gd Radiology, Pa | Radiology | 5709 Hillcrest Ave. #d, Dallas, TX 75205 | 2010-08-06 |
| 1083930531 | Pamela Nurenberg, M.d., P.a. | Radiology | 2525 N Pearl St Apt 1604, Dallas, TX 75201-2236 | 2010-04-08 |
| Find all providers in DALLAS | ||||
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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.