Active NPIIndividual provider

Dr. Scott J Deron, DO

Internal Medicine, Cardiovascular Disease in Bangor, Maine

NPI Number1528035136
Practice location
21 Primrose Pl, Bangor, ME 04401-5891
Fax
—
Last updated
November 9, 2021

Scott John Deron is an Internal Medicine, Cardiovascular Disease based in Bangor, ME. Scott John Deron practices in Bangor, ME and has the professional credentials of DO. The NPI Number for Scott John Deron is 1528035136 and holds a License No. OS005372L (PA). The current practice location address for Scott John Deron is 21 Primrose Pl, Bangor, ME 04401-5891 and can be reached out via phone at 207-989-1054.

Provider Profile Details

NPI Number
1528035136
Provider Name
Scott John Deron
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
21 Primrose Pl, Bangor, ME 04401-5891
Phone Number
207-989-1054
Primary Taxonomy
Internal Medicine, Cardiovascular Disease · 207RC0000X
Sole Proprietor
No
Provider Enumeration Date
March 2, 2006
Last Update Date
November 9, 2021
Certification Date
November 9, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
21 Primrose Pl
Bangor, ME 04401-5891
City
Bangor
State
Maine
Zip
04401-5891
Phone Number
207-989-1054
Bangor, ME 04401Get directions →

Provider Business Mailing Address Details

Address
21 Primrose Pl
Bangor, ME 04401-5891
City
Bangor
State
ME
Zip
04401-5891

License Information

License Number (1)
OS005372L
License State (1)
PA
Taxonomy (1)
Internal Medicine, Bariatric Medicine · 207RB0002X
License Number (2)
OS005372L
License State (2)
PA
License Number (3)
OS005372L
License State (3)
PA
License Number (4)
DO2065
License State (4)
ME
Taxonomy (4)
Internal Medicine, Cardiovascular Disease · 207RC0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Scott J Deron, DO?

The NPI number of Dr. Scott J Deron, DO is 1528035136. It was assigned on March 2, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Scott J Deron, DO?

Dr. Scott J Deron, DO is registered under the primary taxonomy Internal Medicine, Cardiovascular Disease (code 207RC0000X), licensed in PA under license number OS005372L.

Where does Dr. Scott J Deron, DO practice?

The practice location is 21 Primrose Pl, Bangor, ME 04401-5891. The office can be reached at 207-989-1054 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1528035136 directly on the NPPES registry website.

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