Dr. Scott John Deron, D.O.
Internal Medicine, Cardiovascular Disease in Bangor, ME. Individual provider (NPI-1).
NPI number1528035136
StatusActive
Last updated in NPPESNov 9, 2021
Details
- NPI
- 1528035136
- Entity type
- Individual (NPI-1)
- Name
- Dr. Scott John Deron
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 2, 2006
- Certification date
- Nov 9, 2021
- Last updated
- Nov 9, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RC0000X | Internal Medicine, Cardiovascular Disease | DO2065 | ME | Yes |
| 207RB0002X | Internal Medicine, Bariatric Medicine | OS005372L | PA | |
| 207RC0000X | Internal Medicine, Cardiovascular Disease | OS005372L | PA | |
| 207RI0011X | Internal Medicine, Interventional Cardiology | OS005372L | PA |
Practice location
21 Primrose PlBangor, ME 04401-5891
Phone 207-989-1054
Mailing address
21 Primrose PlBangor, ME 04401-5891
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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