Mark Walter Deroo, MD

Pediatrics Physician · Olathe, KS

Individual Active NPI

NPI number 1982657516

Practice location

23450 College Blvd
Olathe, KS 66061-8702
Phone
(913) 764-7788
Fax
(913) 764-6088

Open in Google Maps

NPI record

NPI
1982657516
Entity type
Individual (Type 1)
Enumeration date
May 17, 2006
Last updated
August 19, 2011
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X 0427012 KS

About Dr. Deroo

Mark Walter Deroo, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 23450 College Blvd, Olathe, KS 66061-8702. The NPI number 1982657516 was assigned on May 17, 2006 and the record was last updated on August 19, 2011.

Dr. Deroo lists a license in the registry: #0427012 (KS) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mark Walter Deroo, MD?

The NPI number is 1982657516.

What is the phone number of Dr. Deroo?

The phone number listed for the practice location is (913) 764-7788.

Where is Dr. Deroo located?

23450 College Blvd, Olathe, KS 66061-8702.

What is the taxonomy code for Dr. Deroo?

The primary taxonomy code is 208000000X – Pediatrics Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Pediatrics Physician providers in Olathe

All Pediatrics Physician providers in Olathe, KS →