Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Derek John De Vry

Individual provider Anesthesiology Physician · NPI 1902120645

Derek John De Vry is an Anesthesiology in Medford, Oregon. Graduated from Medical College of Wisconsin in 2010, 16 years ago. Practices with Anesthesia Associates of Medford PC, a 47-clinician group and accepts Medicare assignment. Licensed in Oregon and Wisconsin.

Years since qualifying
16
Trained at
Medical College of Wisconsin
Licensed in
OR, WI
In the registry since
2010
Specialties on file
2
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Practice location Address checks out

842 E Main St
Medford, OR 97504-7134
Phone: (541) 773-9720
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence MD170937 (OR)
Anesthesiology Physician Taxonomy 207L00000X · Licence 56079-020 (WI)

Record details

NPI number1902120645
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 24, 2010
Last updated in NPPESApril 10, 2015
Mailing addressPo Box 1705, Medford, OR 97501-0132

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolMEDICAL COLLEGE OF WISCONSIN
Graduated 2010 (16 years in practice)
Group practice Anesthesia Associates Of Medford Pc — 47 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Medford