# JAMES L DERICKSON MD PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427076223
- **Authorized official:** JAMES L DERICKSON MD (CEO)
- **Authorized official phone:** (719) 473-8595

## Contact information

- **Practice address:** 1715 N WEBER ST, SUITE 270, COLORADO SPRINGS, CO 80907-7532
- **Practice address phone:** (719) 473-8595
- **Mailing address:** 3464 S WILLOW ST, SUITE 540, DENVER, CO 80231-4531
- **Mailing address phone:** (800) 929-5395

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/18/2006
- **Last updated:** 10/31/2007