Dr. Patrick Derby is a Tampa, Florida based male podiatrist with 5 years of experience in Podiatry. He completed his graduation from California School Of Podiatric Medicine in 2019. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Patrick Derby for Podiatric Foot & Ankle Surgery is PO4422 in Florida. Dr. Patrick Derby is qualified with a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. He diagnose and treat foot diseases and deformities. He can perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Complete Profile:
Dr. Patrick Derby speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Podiatrist
Credentials:
DPM
Experience:
5+ years
Medical School Attended:
California School Of Podiatric Medicine
Graduation Year:
2019
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
2511 W Dr Martin Luther King Jr Blvd, Tampa, Florida, 33607-6301
Phone:
813-879-7850
Fax:
813-870-3569
Professional Identification Codes:
NPI number stands for National Provider Identifier which 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).
NPI details are as mentioned below.
PAC ID:
2264767433
Enrollment ID:
I20220613002182
NPI Number:
1073075222
NPI Enumeration Date:
04 Apr, 2019
NPI Last Update On:
19 Feb, 2024
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Patrick Derby are as mentioned below.
License Number
Specialization
State
Status
PO4422
Podiatric Foot & Ankle Surgery
Florida
Primary
PO4422
Podiatry
Florida
Secondary
PO4422
Primary Podiatric Medicine
Florida
Secondary
PO4422
Podiatric Sports Medicine
Florida
Secondary
PO4422
Podiatric Foot Surgery
Florida
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Patrick Derby such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
OPOAV
Other
Florida
BCBS
7333506
Other
Florida
CIGNA ID
114530400
Medicaid
Florida
6605657
Other
Florida
AETNA
15659126
Other
CAQH ID
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
15815 Shaddock Dr Ste 130, Winter Garden, Florida
Zip:
34787-5773
Phone Number:
813-400-1140
Fax Number:
813-701-9132
Patients can reach Dr. Patrick Derby at 2511 W Dr Martin Luther King Jr Blvd, Tampa, Florida or can call to book an appointment on 813-879-7850. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
Comments/ Reviews:
Similar Podiatrist in Tampa, FL
Dr. Paul Arthur Richter, DPM Speciality: Podiatrist - Foot Surgery Address: 7926 W Hillsborough Ave, Suite G, FL Phone: 813-886-9180 Fax: 813-888-9093