Anthony J Derrico DO

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

5101006815 Issued in MI

Legal business name

ANTHONY J DERRICO DO

Practice address

Cancer Care Associates PC
1701 S Blvd East Ste 350
Rochester Hills, MI 48307

Phone

(248) 997-9000

Fax

(248) 997-9007

NPI assigned

Sep 21, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Judy Whitfield

Title

Medical SVCS MNGR

Phone

(248) 997-9000

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Cancer Care Associates PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Cancer Care Associates, P.C.

  • Clinical Medical Laboratory
  • Rochester Hills, MI
  • NPI 1013034669
  NPD tax ID
• David a Decker MD

  • Non-Pharmacy Dispensing Site
  • Royal Oak, MI
  • NPI 1437257433
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255439253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CANCER CARE ASSOCIATES PC",
            "address_2": "1701 S BLVD EAST STE 350",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "48307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CANCER CARE ASSOCIATES PC",
            "address_2": "1701 S BLVD EAST STE 350",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "48307",
            "telephone_number": "248-997-9000",
            "fax_number": "248-997-9007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHONY J DERRICO DO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WHITFIELD",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "MEDICAL SVCS MNGR",
        "authorized_official_telephone_number": "248-997-9000"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "MI",
            "license": "5101006815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "2367337",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angels Path Corporation
• Shauntelle Dominique Angle
• Lekha Anil-George
• Anne M. Yurik, PH.D, P.C.
• Rita U Antani, PSYD
• Anthony L Cacco MD PC
• Steven Z Antone, MD
• Cecelia Rae Antuna
• Cole Anusbigian, DC
• Anxiety Wellness Program

• All providers in Rochester Hills, MI
• Non-Pharmacy Dispensing Site in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.