Provider Demographics
NPI:1861619967
Name:APPLEYARD, DEBORAH V (MD)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:V
Last Name:APPLEYARD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:DEBORAH
Other - Middle Name:
Other - Last Name:VAN ALLEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 1095
Mailing Address - Street 2:
Mailing Address - City:CHRISTIANSTED
Mailing Address - State:VI
Mailing Address - Zip Code:00821-1095
Mailing Address - Country:US
Mailing Address - Phone:340-692-5000
Mailing Address - Fax:340-692-5002
Practice Address - Street 1:4201 ESTATE RUBY
Practice Address - Street 2:SUITE 1
Practice Address - City:CHRISTIANSTED
Practice Address - State:VI
Practice Address - Zip Code:00820-4431
Practice Address - Country:US
Practice Address - Phone:340-692-5000
Practice Address - Fax:340-692-5002
Is Sole Proprietor?:No
Enumeration Date:2007-04-19
Last Update Date:2012-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RILP00270207X00000X
NC2010-00254207X00000X
VI1699207X00000X, 207XS0117X, 207XX0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
No207XX0801XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Trauma
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5914195Medicaid
NC2075758Medicare PIN
NC5914195Medicaid