DIRK JON DERKSEN MD
NPI 1013902055
Family Medicine in Appleton, WI

Q: What is Dirk Derksen's NPI number?

The NPI number for Dirk Derksen is 1013902055. It was assigned to this individual provider in the NPPES registry on September 15, 2005.

Q: What is Dirk Derksen's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Dirk Derksen was last updated on February 17, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 15, 2005

10 WAGON WHEEL DR, APPLETON, WI 54913(920) 731-6374 Get Directions Write a Review

NPPES record last updated: February 17, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dirk Jon Derksen Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIRK JON DERKSEN MD (NPI 1013902055) is an individual family medicine provider in Appleton, Wisconsin, licensed in Wisconsin (AD6655394) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1013902055

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDIRK JON DERKSENCredential: MD

Location Address10 WAGON WHEEL DRAppleton, WI 54913-9782

Mailing Address10 Wagon Wheel DrAppleton, WI 54913-9782 · (920) 731-6374

Phone(920) 731-6374

Sole ProprietorNo

Enumeration DateSeptember 15, 2005

Last NPPES UpdateFebruary 17, 2009

✔ NPI 1013902055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in WI · AD6655394

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

10 WAGON WHEEL DR, Appleton, WI 54913

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Other Identifiers 2

Medicaid31145100WI

Medicare UPINB52396WI

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dirk Derksen's NPI number?

The NPI number for Dirk Derksen is 1013902055. It was assigned to this individual provider in the NPPES registry on September 15, 2005.

Where is Dirk Derksen located?

Dirk Derksen practices at 10 Wagon Wheel Dr, Appleton, WI 54913. The listed phone number is (920) 731-6374.

What is Dirk Derksen's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Dirk Derksen was last updated on February 17, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.