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

Mr. Derek Steven Wakeman, MD

Individual provider Surgery Physician · NPI 1649483181

Mr. Derek Steven Wakeman, MD is a Surgery Physician in Rochester, New York. Licensed in Missouri and New York. Registered with an NPI since 2007.

Licensed in
MO, NY
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

601 Elmwood Ave Box Surg
Rochester, NY 14642-0001
Phone: (585) 273-1753
Fax: (585) 276-2370
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Specialties & licences

Pediatric Surgery Physician (primary) Taxonomy 2086S0120X · Licence 283192 (NY)
Surgery Physician Taxonomy 208600000X · Licence 2006015616 (MO)

Record details

NPI number1649483181
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 8, 2007
Last updated in NPPESJune 29, 2023

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