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

Stephen Lentz Derryberry Jr.

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1588161814

Stephen Lentz Derryberry Jr. is a General Surgery in Marion, Indiana. Graduated from Vanderbilt University School of Medicine in 2018, 8 years ago. Practices with Marion General Hospital, a 117-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
8
Trained at
Vanderbilt University School of Medicine
Licensed in
IN
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

330 N Wabash Ave Ste 370
Marion, IN 46952-2678
Phone: (765) 660-7500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1044 Belmont Ave Dept Of, Youngstown, OH 44504-1006 — (330) 480-3124
  • 1161 21st Ave S, Nashville, TN 37232-2730 — (615) 343-6642

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 01094632B (IN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1588161814
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 12, 2018
Last updated in NPPESSeptember 12, 2024
Certification dateSeptember 12, 2024

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolVANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Marion General Hospital — 117 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Marion