Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JOHN PAUL DETHERAGE III, MD
Active Sole ProprietorDR. JOHN PAUL DETHERAGE III, MD is a Emergency Medicine healthcare provider located in MONTGOMERY, Ohio. NPI 1447833504 is currently active in the NPPES registry. Verify at CMS.
Emergency Medicine · MONTGOMERY, OH
Registration Details
- NPI Number
- 1447833504
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 5, 2021 (5.3140698682957 yrs)
- Last Updated
- Nov 3, 2025
- Licenses
-
59124 (KY)01098271A (IN)35150486 (OH)01098271A (IN)35150486 (OH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
10506 MONTGOMERY RD STE 209MONTGOMERY, OH, 452424400Browse OH providers · Browse ZIP 45242
- Phone
- 5138659040
- Primary Specialty
-
Emergency Medicine
207P00000X
- Additional Specialty
- Sports Medicine (EM)
- Additional Specialty
- Sports Medicine (EM)
- Additional Specialty
- Emergency Medicine
- Additional Specialty
- Emergency Medicine
Other Emergency Medicine Providers in MONTGOMERY, OH
| Name | Credential | NPI |
|---|---|---|
| DR. JACLYN HARRINGTON JANSEN | MD | 1821589417 |
| ZACHARY DAVID HEPPNER | MD | 1538620448 |
| LAURA ELIZABETH FRANKENFELD | MD | 1952862195 |
| DAVID ALAN JACKSON | MD | 1962081455 |
| JAMES HEATON | PA-C | 1942929849 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.