Stephan D Deutsch, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

MD04988 Issued in RI

Practice address

1 Wayland Ave Unit 316N
Providence, RI 02906-4565

Phone

(401) 751-2855

Fax

(401) 751-2288

NPI assigned

Jul 19, 2008

Sex

Male

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1216425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273104000000",
    "number": "1851556849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WAYLAND AVE UNIT 316N",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029064565",
            "telephone_number": "401-751-2855",
            "fax_number": "401-751-2288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WAYLAND AVE UNIT 316N",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029064565",
            "telephone_number": "401-751-2855",
            "fax_number": "401-751-2288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEUTSCH",
        "first_name": "STEPHAN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-19",
        "last_updated": "2010-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "RI",
            "license": "MD04988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Dessert, AGACNP
• Almaz Sara Dessie, M.D.
• Danielle Destiny, MD
• Christopher Detora
• Jennifer Detrisac, M.D.
• Daniella Amber Devaney
• Jean L. Devera, MD
• Jerilyn A Devin, NP
• Linda A. V. Devincent, LICSW
• Gabriella Devincenzis

• Orthopaedic Surgery Physician in Providence, RI
• Providers in Providence, RI by specialty
• Orthopaedic Surgery Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.