Dr. Isaac Deatherage, DO, MPH
- Affiliated sites
- 1
- Medical group
- 1
- State license
- 1
- Year NPI issued
- 2023
- Practice address
- 3720 Se Jennings Rd, Port Saint Lucie, FL 34952
- Practice phone
- Call (772) 398-8080
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Life Care Center of Port St. Lucie
Skilled Nursing Facility · Port Saint Lucie, Florida
Find Dr. Deatherage's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Dr. Isaac Deatherage is a general practice physician in Port Saint Lucie, Florida
Dr. Deatherage practices at Life Care Center of Port St. Lucie in Port Saint Lucie, Florida.
Dr. Deatherage's NPI, 1942998810, was assigned on April 27, 2023. Dr. Deatherage graduated from Pacific NW Un of HS, Col of Osteopathic Medicine in 2022. Dr. Deatherage holds Michigan license 5101028511.
- NPI
- 1942998810NPI Registry (opens in a new tab)
- Medicare PAC ID
- 8921501586
- NPI enumeration date
- April 27, 2023
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Practice phone
- (772) 398-8080
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Estimated age
- 30
- Medical school graduation
- 2022
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Dr. Isaac Deatherage practices at Life Care Center of Port St. Lucie in Port Saint Lucie, Florida
Dr. Deatherage's primary practice is Life Care Center of Port St. Lucie, at 3720 Se Jennings Rd, Port Saint Lucie, FL 34952 in St. Lucie County. The practice phone is (772) 398-8080.
- Life Care Center of Port St. Lucie3720 Se Jennings Rd, Port Saint Lucie, FL 34952 · St. Lucie CountyPhone(772) 398-8080
Source: Dmand AI Affiliation Data
Dr. Isaac Deatherage is affiliated with 1 site of care and 1 medical group
Dr. Deatherage's primary practice is Life Care Center of Port St. Lucie in Port Saint Lucie, Florida. The medical group on file is Evolutionary Healthcare.
Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data
Dmand AI tracks the EHR system at Dr. Isaac Deatherage's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Deatherage practices. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Life Care Center of Port St. Lucie | Available with a free account |
Source: Dmand AI Technology Install Data
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Dr. Isaac Deatherage is one of 1,706 general practice physicians in Florida
General practice is Dr. Deatherage's primary specialty in the NPI Registry, under taxonomy code 208D00000X. Dr. Deatherage is licensed in Michigan.
Specialties and state licenses
- General practice, MichiganPrimary
General practice physicians near Dr. Deatherage
Counts of general practice physicians with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Dr. Isaac Deatherage's patients have a median age of 73
Across all payers, Dmand AI patient panel data puts Dr. Deatherage's median patient age at 73, with 63% women.
Dr. Deatherage's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 73
Patient panel by sex, all payers
- Women63%
- Men37%
Source: Dmand AI Patient Panel Data
How Dr. Isaac Deatherage takes part in Medicare
Dr. Deatherage accepts Medicare assignment, so Medicare's approved amount is taken as full payment.
- Accepts Medicare assignment
- Yes
Source: Doctors and Clinicians National Downloadable File (CMS)
Dr. Isaac Deatherage graduated from Pacific NW Un of HS, Col of Osteopathic Medicine
Dr. Deatherage graduated from Pacific NW Un of HS, Col of Osteopathic Medicine in 2022.
- Medical school
Source: Dmand AI Professional Profile Data
Sources for Dr. Isaac Deatherage's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | Dmand AI Affiliation Data |
| Primary practice, affiliations and health system | Dmand AI Affiliation DataDmand AI Org Hierarchy Data |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel Data |
| MIPS scores, telehealth, assignment and procedure percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab) |
| Training, board certification and memberships | Dmand AI Professional Profile Data |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Dr. Isaac Deatherage
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Dr. Isaac Deatherage's NPI number?
Dr. Isaac Deatherage's NPI number is 1942998810. It was assigned on April 27, 2023, and it is active in the NPI Registry.
What kind of doctor is Dr. Isaac Deatherage?
Dr. Isaac Deatherage is a general practice physician in Port Saint Lucie, Florida. The primary specialty in the NPI Registry is General Practice Physician (taxonomy code 208D00000X).
Where does Dr. Isaac Deatherage practice?
Dr. Deatherage practices at 3720 Se Jennings Rd, Port Saint Lucie, FL 34952. Dr. Deatherage's primary practice is Life Care Center of Port St. Lucie in Port Saint Lucie, Florida.
What is Dr. Isaac Deatherage's office phone number?
The practice phone on file for Dr. Deatherage is (772) 398-8080.
What is Dr. Isaac Deatherage's medical license number?
Dr. Deatherage holds Michigan license 5101028511.
What medical group is Dr. Isaac Deatherage part of?
Dr. Deatherage is linked to Evolutionary Healthcare.
Does Dr. Isaac Deatherage accept Medicare?
Yes. CMS lists Dr. Deatherage as accepting Medicare assignment.
Where did Dr. Isaac Deatherage go to medical school?
Dr. Deatherage graduated from Pacific NW Un of HS, Col of Osteopathic Medicine in 2022.
How long has Dr. Isaac Deatherage been practicing?
Dr. Deatherage graduated from medical school in 2022, 4 years ago.
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