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Stephen Douglas Depp

NPI Registration Record

Provider / OrganizationNPIDate Certified
STEPHEN DOUGLAS DEPP18519008642020-07-26

Stephen Douglas Depp [M] graduated in 2020 and primarily specializes in Nurse Practitioner.

Stephen Douglas Depp is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1851900864. Registration indicates Stephen Douglas Depp is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Acute Care, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Acute Care, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )

PECOS ID6608294988
RegistrationPART-B:Y
DME:Y
HHA:Y
PMD:Y
Entity TypeIndividual
Provider Name Stephen Douglas Depp
Practice Office Address1000 E WASHINGTON ST
MEDINA, OH US
Practice Office Telephone3307251000
Mailing Address9500 EUCLID AVE
CLEVELAND, OH 441950002 US
Business Telephone2164442200
HPT Codes
CodePractice
License No
State
363LA2100X PRIMARYAccess to Adult/Geriatric Primary Care Providers
Physician Assistants & Advanced Practice Nursing Providers
Nurse PractitionerAccess to Pediatric Primary Care Providers
Physician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Physician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Nurse Practitioner: Acute Care

All Other Specialties & Provider Types

Nurse Practitioner Acute Care
Physician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
APRN.CNP0027210
OH
OPI Codes

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