JOSE J. DERDOY, MD, LLC – NPI #1003383258
Pediatrics

A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.

Health Care Provider Taxonomy Code for Pediatrics

JOSE J. DERDOY, MD, LLC is a provider located in CREVE COEUR, MO. NPPES has assigned the NPI number 1003383258 to JOSE J. DERDOY, MD, LLC on October 25, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2080P0206X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Pediatric Gastroenterology

The NPI profile was previously updated about 7 years ago on Jun 11, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JOSE J. DERDOY, MD, LLC below.

NPI Profile for
JOSE J. DERDOY, MD, LLC

NPI Number
1003383258
Enumeration Date

(more than 7 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
JOSE J. DERDOY, MD, LLC
Primary location
845 N NEW BALLAS CT STE 330
CREVE COEUR, MO 63141-7169
Phone: (314) 744-9078 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JOSE DERDOY
OWNER/PRESIDENT
Phone: (314) 744-9078
Updated
Identifiers

Identifiers for JOSE J. DERDOY, MD, LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERDONT HAVE SUCH NUMBER000000000
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2080P0206X
- Pediatrics / Pediatric Gastroenterology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.