Provider Demographics
NPI:1184726598
Name:DEPUY, JAMES WARNER (MD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:WARNER
Last Name:DEPUY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 RIVERVIEW DR
Mailing Address - Street 2:
Mailing Address - City:DANBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06810-6268
Mailing Address - Country:US
Mailing Address - Phone:203-797-1500
Mailing Address - Fax:203-730-9503
Practice Address - Street 1:33 HOSPITAL AVE
Practice Address - Street 2:
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06810-6007
Practice Address - Country:US
Practice Address - Phone:203-792-5558
Practice Address - Fax:203-731-3213
Is Sole Proprietor?:No
Enumeration Date:2006-09-05
Last Update Date:2017-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT029905207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
010029905CT01OtherANTHEM BCBS
CT001299058Medicaid
029905OtherCONNECTICARE
1058760OtherUNITED HEALTHCARE
1173109004OtherCIGNA
2V2651OtherHLTHNET OF THE NORTHEAST
Z5265OtherOXFORD
CT0198860001Medicare NSC
010029905CT01OtherANTHEM BCBS
1173109004OtherCIGNA
B87150Medicare UPIN
CT001299058Medicaid