Christopher Derr

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

APS.004477 Issued in OH

Practice address

6 W Federal St Ste 701
Youngstown, OH 44503-1440

Phone

(330) 797-3995

NPI assigned

Oct 11, 2023

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Flying High Inc.

  • Community/Behavioral Health Agency
  • Youngstown, OH
  • NPI 1902206618
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1696982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1043091440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 W FEDERAL ST STE 701",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445031440",
            "telephone_number": "330-797-3995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 W FEDERAL ST STE 701",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445031440",
            "telephone_number": "330-797-3995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERR",
        "first_name": "CHRISTOPHER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-11",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OH",
            "license": "APS.004477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tony Thomas Deramo, MD
• Deborah Lynne Derflinger, RN
• Dermatology Associates of Youngstown Inc
• Dermatology Centre of Northeast Ohio, LLC
• Matthew H Dermotta
• Kasey Elizabeth Desalvo, PA-C
• Ester Siloe Deschenes, MD
• Alexis Monique Deslandes
• Rosie Deslandes
• Steven J Deutch, M.D

• Peer Specialist in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Peer Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.