National Provider Identifier
Derek Steven Wakeman, M.D.
Derek Steven Wakeman, M.D. is listed in the NPPES registry with a primary specialty of Pediatric Surgery Physician in Rochester, NY and a listed phone number of (585) 273-1753.
Profile Overview
- NPI
- 1649483181
- Provider Type
- Individual
- Primary Specialty
- Pediatric Surgery Physician
- Enumeration Date
- May 08, 2007
- Last Updated
- June 29, 2023
Practice Location
- 601 Elmwood Ave
- Box Surg
- Rochester, NY 14642-0001
Phone: (585) 273-1753
Specialties
- Pediatric Surgery Physician (2086S0120X)
- Surgery Physician (208600000X)
Endpoints
- dwakeman107665@direct.urmc.rochester.edu
Direct Messaging Address | Direct | Other | Rochester, NY 14642
Full Record
- NPI
- 1649483181
- Entity Type
- Individual
- Last Name
- Wakeman
- First Name
- Derek
- Middle Name
- Steven
- Name Prefix
- Mr.
- Credential
- M.D.
- Mailing Street Address
- 601 Elmwood Ave
- Mailing Address Line 2
- Box Surg
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14642-0001
- Mailing Country
- US
- Mailing Phone
- (585) 273-1753
- Mailing Fax
- (585) 276-2370
- Practice Street Address
- 601 Elmwood Ave
- Practice Address Line 2
- Box Surg
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14642-0001
- Practice Country
- US
- Practice Phone
- (585) 273-1753
- Practice Fax
- (585) 276-2370
- Enumeration Date
- May 08, 2007
- Last Updated
- June 29, 2023
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatric Surgery Physician (2086S0120X), Surgery Physician (208600000X)