Virginia Jane Derebery, M.D.

Primary specialty

Occupational Medicine PhysicianTaxonomy code 2083X0100X

License

G9952 Issued in TX

Practice address

1345 Philomena St
Suite 102
Austin, TX 78723-3185

Phone

(512) 324-5650

NPI assigned

Mar 29, 2007

Last updated

Sep 17, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Seton Occupational Health Clinic

  • Occupational Medicine Clinic/Center
  • Austin, TX
  • NPI 1801339148
  NPD (past)

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253145600000",
    "number": "1639298482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27908",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787557908",
            "telephone_number": "210-860-9146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 PHILOMENA ST",
            "address_2": "SUITE 102",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787233185",
            "telephone_number": "512-324-5650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEREBERY",
        "first_name": "VIRGINIA",
        "middle_name": "JANE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2009-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "TX",
            "license": "G9952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dept of Assistive & Rehab Serv - University of Texas at Austin
• Depth Counseling Services P C
• Ellen N Deputat, CRNA
• Derby Dental Care, PLLC
• Derby Family Dental PLLC (Derby Dental)
• Gabrielle Nicole Deregla
• Derek Hamilton, OD, P.a. (Hamilton Eye Associates)
• Kim Deremer, L.C.D.C
• Angeline Derham, MD
• Dermatology Specialists of Austin, P.a. (Steriner Ranch Dermatology)

• Occupational Medicine Physician in Austin, TX
• Providers in Austin, TX by specialty
• Occupational Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2009; 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.