Deborah Ann Dipersio, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

9400472 Issued in NC

Practice address

1705 Gardner Dr
Wilmington, NC 28405-8873

Phone

(910) 343-5300

NPI assigned

Aug 9, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Iredell Radiology Associates PA

  • Diagnostic Radiology Physician
  • Statesville, NC
  • NPI 1235197179

  Diagnostic Radiology

  NPD (past)
• Southeastern Overread Services PLLC

  • Diagnostic Radiology Physician
  • Greensboro, NC
  • NPI 1265625818

  Diagnostic Radiology

  NPD (past)
• Southeastern Radiology PA

  • Diagnostic Radiology Physician
  • Greensboro, NC
  • NPI 1669476453

  Diagnostic Radiology

  NPD (past)
• Southeast Regional Virtual Imaging Consulting Enterprise PA

  • Diagnostic Radiology Physician
  • Campobello, SC
  • NPI 1205844586

  Diagnostic Radiology

  NPD (past)

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1972504272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 GARDNER DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284058873",
            "telephone_number": "910-343-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 GARDNER DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284058873",
            "telephone_number": "910-343-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIPERSIO",
        "first_name": "DEBORAH",
        "middle_name": "ANN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-09",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "9400472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8913324",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dimock Weinberg & Cherry DDS PLLC
• Julia Dimock, DDS MS
• Laura Eileen Dinehart, OTRL
• Jill Templeton Dinunzio, CRNA
• Margaret Diossy, DPT
• Disability Resource Center
• Alexa K Disarno, FNP-C
• Dawn Discenza, LPCA
• Michael Joseph Disieno, LCAS
• Whitney Distefano, RN, NC-BC

• All providers in Wilmington, NC
• Diagnostic Radiology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2022; 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.