H. CLARK DERISO M.D.P.C.
NPI 1245412352
Specialist in Savannah, GA

Q: What is H Clark Deriso M.D.P.C.'s NPI number?

The NPI number for H Clark Deriso M.D.P.C. is 1245412352. It was assigned to this organization in the NPPES registry on November 30, 2007. The provider is doing business as H. Clark Deriso M.D.P.C..

Q: What is H Clark Deriso M.D.P.C.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since November 30, 2007

38 MEDICAL ARTS CENTER, SAVANNAH, GA 31405(912) 692-0755(912) 692-0754 Get Directions Write a Review

NPPES record last updated: December 6, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About H. Clark Deriso M.d.p.c. NPPES

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

H. CLARK DERISO M.D.P.C. (NPI 1245412352) is a healthcare organization registered as a specialist in Savannah, Georgia and active in the NPI registry since November 2007. The organization lists Henry Clark Deriso, Md, as its authorized official.

NPPES Registry Identity

NPI1245412352

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameH CLARK DERISO M.D.P.C.

Location Address38 MEDICAL ARTS CENTERSavannah, GA 31405-4155

Mailing Address38 Medical Arts CtrSavannah, GA 31405-4415 · (912) 692-0755 · Fax (912) 692-0754

Phone(912) 692-0755

Fax(912) 692-0754

Organization SubpartYesParent: H. Clark Deriso M.d.p.c.

Authorized OfficialHenry Clark DerisoMd · (972) 692-0755

Enumeration DateNovember 30, 2007

Last NPPES UpdateDecember 6, 2007

✔ NPI 1245412352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in GA · 013026

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

38 MEDICAL ARTS CENTER, Savannah, GA 31405

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Other Names 1

Doing Business AsH. Clark Deriso M.d.p.c.

Other Identifiers 1

Medicare PINGRP2318GA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 H Clark Deriso M.D.P.C.'s NPI number?

The NPI number for H Clark Deriso M.D.P.C. is 1245412352. It was assigned to this organization in the NPPES registry on November 30, 2007. The provider is doing business as H. Clark Deriso M.D.P.C..

Where is H Clark Deriso M.D.P.C. located?

H Clark Deriso M.D.P.C. is located at 38 Medical Arts Center, Savannah, GA 31405. The listed phone number is (912) 692-0755.

What is H Clark Deriso M.D.P.C.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for H Clark Deriso M.D.P.C. was last updated on December 6, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.