MARK WALTER DEROO MD
NPI 1982657516
Pediatrics in Olathe, KS

Q: What is Mark Deroo's NPI number?

The NPI number for Mark Deroo is 1982657516. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Q: What is Mark Deroo's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Mark Deroo was last updated on August 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 May 17, 2006

23450 COLLEGE BLVD, OLATHE, KS 66061(913) 764-7788(913) 764-6088 Get Directions Write a Review

NPPES record last updated: August 19, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mark Walter Deroo Md NPPES

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

MARK WALTER DEROO MD (NPI 1982657516) is an individual pediatrics provider in Olathe, Kansas, licensed in Kansas (0427012) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1982657516

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameMARK WALTER DEROOCredential: MD

Location Address23450 COLLEGE BLVDOlathe, KS 66061-8702

Mailing Address23450 College BlvdOlathe, KS 66061-8702 · (913) 764-7788 · Fax (913) 764-6088

Phone(913) 764-7788

Fax(913) 764-6088

Sole ProprietorNo

Enumeration DateMay 17, 2006

Last NPPES UpdateAugust 19, 2011

✔ NPI 1982657516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in KS · 0427012

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

23450 COLLEGE BLVD, Olathe, KS 66061

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Other Identifiers 3

Medicaid100293370EKS

Medicare UPINE05841

Medicare ID-Type Unspecified0337921DKS

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CHET DANIEL JOHNSON M.D.

Pediatrics (Developmental - Behavioral Pediatrics)