Marie L Deruyter (NPI# 1164419453, PAC ID# 7214970557) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY.
| Nation Provider ID (NPI) | 1164419453 |
| PAC ID by PECOS | 7214970557 |
| Professional Enrollment ID | I20050607000935 |
| Full Name | Marie L Deruyter |
| Organization Legal Name | MAYO CLINIC JACKSONVILLE |
| Address |
4500 San Pablo Rd S Jacksonville FL 32224-1865 |
| Phone Number | 9049532000 |
| Gender | F |
| Credential | MD |
| Medical School | CREIGHTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1994 |
| Primary Specialty | ANESTHESIOLOGY |
| Group Practice PAC ID | 5698689297 |
| Number of Group Practice Members | 927 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100151 | MAYO CLINIC FLORIDA |
| Address | Phone | Organization |
|---|---|---|
| 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 9049532000 | MAYO CLINIC JACKSONVILLE |
| Organization Legal Name | MAYO CLINIC JACKSONVILLE |
| Physicians | 955 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Glenn G Shi | Orthopedic Surgery | Mayo Clinic Jacksonville | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 |
| Samantha E Holtzman | Physician Assistant | Mayo Clinic Jacksonville | 742 Marsh Landing Pkwy, Jacksonville, FL 32250-5850 |
| Pragnesh P Parikh | Cardiovascular Disease (cardiology) | Mayo Clinic Jacksonville | 110 Southwood Lake Dr, Saint Augustine, FL 32086-7286 |
| Timothy Davlantes | Family Medicine | Mayo Clinic Jacksonville | 1003 York Rd, Ponte Vedra Beach, FL 32082-3116 |
| Michelle A Tulang | Internal Medicine | Mayo Clinic Jacksonville | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 |
| Ricardo J Pagan | Hospitalist | Mayo Clinic Jacksonville | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 |
| Crystal S Lynn | Certified Registered Nurse Anesthetist (crna) | Mayo Clinic Jacksonville | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 |
| Lauren E Freed | Certified Registered Nurse Anesthetist (crna) | Mayo Clinic Jacksonville | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 |
| Jessica Naomi Pelkowski | Nurse Practitioner | Mayo Clinic Jacksonville | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 |
| Steven Jerry Lomax | Urology | Mayo Clinic Jacksonville | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 |
| Street Address |
4500 SAN PABLO RD S |
| City | JACKSONVILLE |
| State | FL |
| Zip | 32224-1865 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Glenn G Shi | Orthopedic Surgery | Mayo Clinic Jacksonville | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 |
| Michelle A Tulang | Internal Medicine | Mayo Clinic Jacksonville | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 |
| Ricardo J Pagan | Hospitalist | Mayo Clinic Jacksonville | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 |
| Crystal S Lynn | Certified Registered Nurse Anesthetist (crna) | Mayo Clinic Jacksonville | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 |
| Lauren E Freed | Certified Registered Nurse Anesthetist (crna) | Mayo Clinic Jacksonville | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 |
| Jessica Naomi Pelkowski | Nurse Practitioner | Mayo Clinic Jacksonville | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 |
| Steven Jerry Lomax | Urology | Mayo Clinic Jacksonville | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 |
| Amanda Anne Myers | Urology | Mayo Clinic Jacksonville | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 |
| Kristina M Schneider | Certified Registered Nurse Anesthetist (crna) | Mayo Clinic Jacksonville | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 |
| Grace H Bryan | Physician Assistant | Mayo Clinic Jacksonville | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel A Black | Podiatry | Jason Manuel Pa | 13400 Sutton Park Dr S, Suite 1103, Jacksonville, FL 32224-0235 |
| Jason Manuel | Podiatry | Jason Manuel Pa | 13400 Sutton Park Dr S, Suite 1103, Jacksonville, FL 32224-0235 |
| Randi Most | Psychologist, Clinical | 13400 Sutton Park Dr S, Suite 1504, Jacksonville, FL 32224-0237 | |
| John R Moreland | Psychologist, Clinical | Affiliated Health Psychologists | 13400 Sutton Park Dr S, Suite 1504, Jacksonville, FL 32224-0237 |
| Eileen Krimsky | Psychologist, Clinical | Affiliated Health Psychologists | 13400 Sutton Park Dr S, Suite 1504, Jacksonville, FL 32224-0237 |
| Robert Stephen Woodward | Occupational Therapy | Revive Rehab Inc | 4745 Sutton Park Ct, Suite 403, Jacksonville, FL 32224-0255 |
| Amy Oliver | Physical Therapy | Revive Rehab Inc | 4745 Sutton Park Ct, Suite 403, Jacksonville, FL 32224-0255 |
| Laurie Scheer Berger | Physical Therapy | Revive Rehab Inc | 4745 Sutton Park Ct, Suite 403, Jacksonville, FL 32224-0255 |
| Nancy Kysela | Physical Therapy | Revive Rehab Inc | 4745 Sutton Park Ct, Suite 403, Jacksonville, FL 32224-0255 |
| Mariane Pistelli Ferreira | Physical Therapy | Revive Rehab Inc | 4745 Sutton Park Ct, Suite 403, Jacksonville, FL 32224-0255 |
| Find all physicians in zip 32224 | |||
| City | JACKSONVILLE |
| Zip Code | 32224 |
| Specialty | ANESTHESIOLOGY |
| City + Specialty | JACKSONVILLE + ANESTHESIOLOGY |
Please comment or provide details below to improve the information on Marie L Deruyter.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.