Individual
DR. JOHN D. DEPERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
146 E HOSPITAL DR STE 400, WEST COLUMBIA, SC 29169-4800
(803) 936-3300
(803) 936-7735
Mailing address
3627 UNIVERSITY BLVD S, SUITE 700, JACKSONVILLE, FL 32216-4230
(904) 399-5678
(904) 399-8488
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
86833
SC
208600000X
Surgery Physician
Primary
ME79425
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004359200
—
FL
01
—
278558
AVMED
—
01
—
51834
BCBS FL
—
01
—
6427217
CIGNA
—
01
—
7528092
AETNA
—
01
—
P00062696
RAILROAD MEDICARE
—
Enumeration date
05/03/2006
Last updated
01/12/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us