Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. SPENCER EMERSON DEROS, PA-C
ActiveMR. SPENCER EMERSON DEROS, PA-C is a Surgical Physician Assistant healthcare provider located in WATERTOWN, Connecticut. NPI 1841915394 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · WATERTOWN, CT
Registration Details
- NPI Number
- 1841915394
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 6, 2022 (3.8704739299554 yrs)
- Last Updated
- Jun 16, 2025
- Licenses
-
5918 (CT)5918 (CT)
Practice Information
- Address
-
595 STRAITS TPKEWATERTOWN, CT, 067953393Browse CT providers · Browse ZIP 06795
- Phone
- 8444827285
- Fax
- 2035022615
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
- Additional Specialty
- Surgical Physician Assistant
- Additional Specialty
- Internal Medicine
Other Surgical Physician Assistant Providers in WATERTOWN, CT
| Name | Credential | NPI |
|---|---|---|
| ANN-MARIE WILLIAMS | PA-C | 1164549341 |
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.