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NPI Code Detail

MEDICARE: DR. ROSS BARRETT DEPPE M.D.

MEDICARE: DR. ROSS BARRETT DEPPE M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RG0100XGastroenterology Physician52457KY
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1114260528
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROSS BARRETT DEPPE M.D.
Provider Business Mailing Address
First Line : 49 JESSE HILL JR DR SE
Second Line : GLENN MEMORIAL BLDG
City : ATLANTA
State : GA
Zip : 30303-3049
Country : US
Telephone Number : 404-251-8788
Fax Number :
Provider Business Practice Location Address
First Line : 3999 DUTCHMANS LN STE 7B
Second Line :
City : LOUISVILLE
State : KY
Zip : 40207-4742
Country : US
Telephone Number : 502-896-4711
Fax Number : 502-896-4791
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2013
Last Update Date : 03/03/2026

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