National Provider Identifier Database

JOSE J DERDOY, MD – NPI #1396838876
Pediatric Gastroenterology

A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.


Contact Information

JOSE J DERDOY, MD
615 S NEW BALLAS RD
CHILDREN'S HOSPITAL, GROUND FLOOR, SUITE YG220
SAINT LOUIS, MO63141-8221
Phone: 314-251-5550
Fax: 314-251-5552
Website:
Specialty Taxonomy Code
* Pediatric Gastroenterology 2080P0206X
Specialist 174400000X

* Indicates primary specialty

NPI Profile & details for JOSE J DERDOY

NPI Number 1396838876
Credentials MD
Entity Individual
Enumeration date 10/02/2006
Last updated 10/04/2024 - More than a year ago
Sole proprietor1 No
Identifiers
  • KY License #: 60035
  • MO License #: 2007002166
  • MO License #: 430654872
  • CA Medicaid: 00A730200
  • IN Medicaid: 300096168
  • MO Medicaid: 1396838876
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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