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

Mr. John J Derisio, OPA

Individual provider Surgical Physician Assistant · NPI 1700968989

Mr. John J Derisio, OPA is a Surgical Physician Assistant in Denver, Colorado. Licensed in Colorado. Registered with an NPI since 2006.

Licensed in
CO
In the registry since
2006

Practice location Address checks out

2535 S Downing St Ste 100
Denver, CO 80210-5847
Phone: (720) 524-1367
Fax: (720) 524-1422
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 154 (CO)

Record details

NPI number1700968989
Entity typeIndividual (Type 1)
GenderMale
Credentials OPA
Sole proprietorNo
NPI enumeratedOctober 19, 2006
Last updated in NPPESAugust 5, 2010
Mailing address2535 S Downing St, Suite 100, Denver, CO 80210-5847

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