GREGORY PAUL DERDERIAN


Address: 538 N Old Woodward Ave, Birmingham, MI 48009-5375
Phone: 2485943091

GREGORY PAUL DERDERIAN (NPI# 1457355737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1457355737
Entity Type Individual
Full Name GREGORY PAUL DERDERIAN
Credential D.O.
Practice Address 538 N Old Woodward Ave
Birmingham
MI 48009-5375
Practice Telephone 2485943091
Practice Fax Number 2485943068
Mailing Telephone 2485943091
Mailing Fax Number 2485943068
Enumeration Date 2005-06-02
Last Update Date 2012-09-18
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2086S0129X Surgery
Specialization: Vascular Surgery
5101007182 MI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MI 4406461 05

Other Providers GREGORY DERDERIAN

NPI Name Taxonomy Address Enumeration
1942521224 Gregory Alexander Derderian Marriage & Family Therapist 5280 34th St, Lubbock, TX 79407-1109 2010-06-21

Office Location

Street Address 538 N OLD WOODWARD AVE
City BIRMINGHAM
State MI
Zip Code 48009-5375

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1487183836 Carolyn Joanna Archer Dietitian, Registered 1155 Derby Rd, Apt 3, Birmingham, MI 48009 2017-06-08
1912374695 Valerie Kim Kaplansky Counselor 300 E. Maple Road, 315, Birmingham, MI 48009 2015-08-28
1578956348 Nancy Jane Naski Recreation Therapist 623 Hanna St, Birmingham, MI 48009 2015-03-18
1619370236 Caitlin Stoltman Recreation Therapist 1669 W. Maple Rd., Far, Birmingham, MI 48009 2014-09-28
1295140770 Lauren Elizabeth Perlin Obstetrics & Gynecology 35046 Woodward Ave Ste 100, Birmingham, MI 48009 2014-06-24
1235560764 Better Life Learning Community/Behavioral Health 33717 Woodward Ave #253, Birmingham, MI 48009 2013-12-10
1689949034 Drs Housecalls PC Internal Medicine 298 S. Old Woodward, Birminham, MI 48009 2012-03-19
1689942021 Brian Connolly Md PC Psychiatry & Neurology 189 Townsend, Suite 300, Birmingham, MI 48009 2011-12-13
1619204187 Dr. Lori PC Dermatology 353 South Old Woodward Ave, Birmingham, MI 48009 2009-11-04
1033348453 Jason Eric Gregory Music Therapist 1669 West Maple, Birmingham, MI 48009 2009-07-07
Find all providers in zip 48009

Taxonomy Information

Taxonomy Code 2086S0129X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Vascular Surgery

Taxonomy Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700048998 Barry L. Fields Surgery 4700 Southlake Pkwy, Birmingham, AL 35244-3202 2008-06-28
1548242563 Michael A Drummond Surgery 817 Princeton Ave Sw, Suite 306, Birmingham, AL 35211-1333 2005-11-16
1467434498 Robert Scott Mccord Surgery 817 Princeton Avenue Sw, Suite 306, Birmingham, AL 35211 2005-11-16
1518220003 Danielle Christine Sutzko Surgery 1808 7th Ave S, Birmingham, AL 35233-1912 2012-06-19
1316235278 The Vein Center Surgery 833 Princeton Ave Sw, Pob IIi, Birmingham, AL 35211-1323 2011-07-13
1144510959 Graeme Edward Brown Mcfarland Surgery 619 19th St S, Birmingham, AL 35249 2011-04-13
1114243003 Emily Louise Spangler Surgery 1808 7th Ave S, Birmingham, AL 35294-1000 2010-04-16
1265603724 Vascular Institute of Birmingham, PC Surgery 2660 10th Ave S, Pob 1, Suite 608, Birmingham, AL 35205-1605 2008-03-12
1932308699 Benjamin Pearce Surgery 619 19th St S, Birmingham, AL 35249-1900 2007-07-13
1306978507 Birmingham Vascular Associates, PC Surgery 2018 Brookwood Medical Ctr Dr, Suite 214, Birmingham, AL 35209-6898 2007-03-12
Find all providers in BIRMINGHAM

Competitor

Search similar providers

City BIRMINGHAM
Zip Code 48009

Improve Information

Please comment or provide details below to improve the information on GREGORY PAUL DERDERIAN.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches