Charles Demirjian, MD

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

35048624D Issued in OH

Practice address

7034 Corporate Way
Centerville, OH 45459-4237

Phone

(937) 298-3800

Fax

(937) 296-0272

NPI assigned

Jun 1, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

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.

• Demirjian Neurology & Pain Management, Inc.

  • Interventional Pain Medicine Physician
  • Centerville, OH
  • NPI 1487846804
  NPD (past) Authorized official
• Lima Memorial Joint Operating Company

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732

  Interventional Pain Medicine

  NPD (past)

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193270400000",
    "number": "1144222480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3732 BLOSSOM HEATH RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454191109",
            "telephone_number": "937-298-3800",
            "fax_number": "937-296-0272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7034 CORPORATE WAY",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454594237",
            "telephone_number": "937-298-3800",
            "fax_number": "937-296-0272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMIRJIAN",
        "first_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2007-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "OH",
            "license": "35048624D",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "0500446",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2086574",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000037042",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0518461",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "D48624",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• DDC Group Inc
• DDC Group Inc.
• Madison G Dean
• Alexis Dearth
• Demirjian Neurology & Pain Management, Inc.
• Alissa Dennie, OT
• Lois Ann Depp, MSW, ACSW
• Abraham Dereje
• Dermatology & Aesthetic Care LLC
• Dermatology and Laser Surgery Center Inc

• Interventional Pain Medicine Physician in Centerville, OH
• Providers in Centerville, OH by specialty
• Interventional Pain Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; 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.