MR. JASON ROBERT DERRINGTON (NPI# 1912532375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912532375 |
| Entity Type | Individual |
| Full Name | MR. JASON ROBERT DERRINGTON |
| Practice Address |
318 Main St Evansville IN 47708-1456 |
| Mailing Address |
2304 Herbert Ave Evansville IN 47714-4108 |
| Practice Telephone | 8124014243 |
| Mailing Telephone | 8122021892 |
| Enumeration Date | 2020-03-06 |
| Last Update Date | 2020-03-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208100000X | Physical Medicine & Rehabilitation | 47-4307900 | IN | Allopathic & Osteopathic Physicians |
| Y | 2081P0004X |
Physical Medicine & Rehabilitation Specialization: Spinal Cord Injury Medicine |
47-4307900 | IN | Allopathic & Osteopathic Physicians |
| Street Address |
318 MAIN ST |
| City | EVANSVILLE |
| State | IN |
| Zip Code | 47708-1456 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558870550 | Evansville In Homecare, LLC | In Home Supportive Care | 123 Nw 4th St Ste 312, Evansville, IN 47708 | 2017-09-22 |
| 1881094290 | Quad Med LLC | Clinic/Center | 1 Nw Mlk Jr Blvd, Rm 106, Evansville, IN 47708 | 2014-09-04 |
| 1598051948 | Kyle Wesley King | Optometrist | 213 Main St, Evansville, IN 47708 | 2011-06-23 |
| 1306902879 | Roger Marin Haywood | Optometrist | 213 Main St, Evansville, IN 47708 | 2006-12-29 |
| 1528124096 | Kimberly Anne Haywood Pfender | Optometrist | 213 Main St, Evansville, IN 47708 | 2006-12-29 |
| 1902857014 | Stratmans Pharmacy Inc | Pharmacy | 407 Main St, Evansville, IN 47708 | 2006-05-13 |
| 1508994153 | Sycamore Rehabilitation Services-hcarc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1100 W Lloyd Expy, Evansville, IN 47708-1146 | 2007-03-02 |
| 1669721726 | Klipsch Senior Care LLC | In Home Supportive Care | 223 Nw 2nd St, Suite 310, Evansville, IN 47708-1207 | 2012-09-05 |
| 1083166359 | Terre Haute Senior Care, LLC | In Home Supportive Care | 223 Nw 2nd St, Suite 310, Evansville, IN 47708-1207 | 2016-11-02 |
| 1760037642 | Andrea Crabtree | Behavioral Analyst | 101 Nw 1st St Ste 118, Evansville, IN 47708-1259 | 2019-08-07 |
| Find all providers in zip 47708 | ||||
| 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 |
|---|---|---|---|---|
| 1558568667 | Northern Indiana Rehabilitation Medicine, Inc. | Physical Medicine & Rehabilitation | 206 E Bartlett St, South Bend, IN 46601-1016 | 2007-07-02 |
| 1356548150 | Northern Indiana Rehabilitation Medicine, Inc. | Physical Medicine & Rehabilitation | 8127 Merrillville Rd, Suite D, Merrillville, IN 46410-6158 | 2007-06-27 |
| City | EVANSVILLE |
| Zip Code | 47708 |
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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.