Jeanne H Defeo, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

D0053207 Issued in MD

Practice address

2001 Medical Pkwy
Annapolis, MD 21401-3280

Phone

(443) 481-1000

NPI assigned

Jan 5, 2006

Last updated

Oct 19, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Anne Arundel Medical Center Pharmacy

  • Community/Retail Pharmacy
  • Annapolis, MD
  • NPI 1861720526
  NPD (past)
• Anne Arundel Medical Center, Inc

  dba AAMC-Pediatric Hospitalists

  • General Acute Care Hospital
  • Annapolis, MD
  • NPI 1053380576
  NPD (past)
• Baltimore Washington Emergency Physicians, Inc.

  • Emergency Medicine Physician
  • Glen Burnie, MD
  • NPI 1215983853
  NPD (past)

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

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192752000000",
    "number": "1851379390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64262",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212644262",
            "telephone_number": "443-481-6573",
            "fax_number": "443-481-6515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 MEDICAL PKWY",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013280",
            "telephone_number": "443-481-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFEO",
        "first_name": "JEANNE",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-05",
        "last_updated": "2007-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0053207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "507000702 120002000",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS",
            "identifier": "LU71AN60350305",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "3626291",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS",
            "identifier": "F1250005",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Hart Deboy, LCSW-C
• Paula A Decandido, M.D.
• Alexis Decker, RDH
• Michelle M. Decker, DENTAL HYGIENIST
• Deerfield Healthcare Corp. (Active Day of Annapolis)
• Kristina A Degaetano, LCSW
• Seta Helen Degann, MD
• Jennifer Leigh Degrange, PTA
• Yvette V. Dehn, LCPC
• Jerilyn Deitch, MA/CCC-SLP

• Pediatrics Physician in Annapolis, MD
• Providers in Annapolis, MD by specialty
• Pediatrics Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2007; 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.