Dr. Deron C. K. Ottey
M.D. | Orthopedic Surgery | 28+ years Exp
Medicare Enrolled 115 E 19th St, Roswell
New Mexico, 88201-5110
575-622-7600 Maps & DirectionsDr. Deron C. K. Ottey is a Roswell, New Mexico based orthopedic surgeon with 28 years of experience in Orthopedic Surgery. He completed his graduation from Meharry Medical College School Of Medicine in 1997. He is also affiliated with hospitals like Lake City Medical Center and Ascension St Vincent's Clay County. 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. Deron C. K. Ottey is MD2024-1070 for Orthopedic Surgery in New Mexico.
Dr. Deron C. K. Ottey is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means including the patients with musculoskeletal problems which include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. Patients with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system are also concerned.
Complete Profile:
Dr. Deron C. K. Ottey 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: | Orthopedic - Orthopedic Surgery |
| Credentials: | M.D. |
| Experience: | 28+ years |
| Medical School Attended: | Meharry Medical College School Of Medicine |
| Graduation Year: | 1997 |
| Gender: | Male |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 115 E 19th St, Roswell,
New Mexico, 88201-5110 |
| Phone: | 575-622-7600 |
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: | 4688620024 |
| Enrollment ID: | I20050329000423 |
| NPI Number: | 1871550780 |
| NPI Enumeration Date: | 26 Apr, 2006 |
| NPI Last Update On: | 06 Dec, 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. Deron C. K. Ottey are as mentioned below.
| License Number | Specialization | State | Status | |
| MD2024-1070 | Orthopedic Surgery | New Mexico | Primary | |
| ME112364 | Orthopedic Surgery | Florida | Secondary | |
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| Lake City Medical Center (100156) | Lake city, FL | Acute Care Hospital |
| Ascension St Vincent's Clay County (100321) | Middleburg, FL | Acute Care Hospital |
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Deron C. K. Ottey is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Interfaith Professional Physician Services Pc (9931378171) | 45 |
| () | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Deron C. K. Ottey such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| MD2024-1070 | Other | New Mexico | NM LICENSE |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 115 E 19th St,
Roswell, New Mexico |
| Zip: | 88201-5110 |
| Phone Number: | 575-622-7600 |
| Fax Number: | -- |
Patients can reach Dr. Deron C. K. Ottey at
115 E 19th St, Roswell, New Mexico or can
call to book an appointment on 575-622-7600.
Comments/ Reviews:
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** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.