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

Mr. Spencer Emerson Deros, PA-C

Individual provider Physician Assistant · NPI 1841915394

Mr. Spencer Emerson Deros, PA-C is a Physician Assistant in Watertown, Connecticut. Qualified in 2022, 4 years ago. Practices with Nuvance Health Medical Practice CT Inc, a 741-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
4
Licensed in
CT
In the registry since
2022
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

595 Straits Tpke
Watertown, CT 06795-3393
Phone: (844) 482-7285
Fax: (203) 502-2615
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 560 Woodbury Rd, Watertown, CT 06795-1725 — (860) 274-6748

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X
Physician Assistant Taxonomy 363A00000X · Licence 5918 (CT)
Internal Medicine Physician Taxonomy 207R00000X · Licence 5918 (CT)

Record details

NPI number1841915394
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 6, 2022
Last updated in NPPESJune 16, 2025
Certification dateJune 16, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Nuvance Health Medical Practice Ct Inc — 741 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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