Healthcare Provider Details

I. General information

NPI: 1497015648
Provider Name (Legal Business Name): DEBORAH SPERLING HESS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DEBORAH SPERLING

II. Dates (important events)

Enumeration Date: 05/22/2012
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11141 PARKVIEW PLAZA DR STE 320
FORT WAYNE IN
46845-1714
US

IV. Provider business mailing address

75 FRANCIS ST
BOSTON MA
02115-6110
US

V. Phone/Fax

Practice location:
  • Phone: 260-425-5400
  • Fax: 260-425-5417
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number2019-01156
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number01098318A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: