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NPI Profile for PHILLIPS R DERIDDER in COLUMBIA, SC.
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Pediatric Critical Care Medicine |
2080P0203X | 37 | Physician/Pediatric Medicine | |
Internal Medicine |
207R00000X | 11 | Physician/Internal Medicine | |
Pediatrics |
208000000X | 37 | Physician/Pediatric Medicine |
| NPI # | 1124512454 |
|
| Status | Active | |
| Credentials | MD | |
| Entity | Individual | |
| Enumeration date | 06/20/2018 | |
| Last updated | 12/08/2025 - About 6 months ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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|
| Hospital affiliation(s) | Not Available |
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PHILLIPS R DERIDDER
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PHILLIPS R DERIDDER, MD