Joseph Paul Dervay, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

J6917 Issued in TX

Practice address

Nasa Johnson Space Center Flight Medicine Clinic
2101 Nasa Road One
Houston, TX 77058

Phone

(281) 483-7999

Fax

(281) 483-3392

NPI assigned

Jan 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282608000000",
    "number": "1467422402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4510 MASTERS DR",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775735805",
            "telephone_number": "281-334-0223",
            "fax_number": "281-334-0223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NASA JOHNSON SPACE CENTER FLIGHT MEDICINE CLINIC",
            "address_2": "2101 NASA ROAD ONE",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77058",
            "telephone_number": "281-483-7999",
            "fax_number": "281-483-3392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERVAY",
        "first_name": "JOSEPH",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-24",
        "last_updated": "2010-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "J6917",
            "primary": true
        },
        {
            "code": "207PE0005X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
            "state": "TX",
            "license": "J6917",
            "primary": false
        },
        {
            "code": "2083A0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Aerospace Medicine",
            "state": "TX",
            "license": "J6917",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather M Derousse, LCSW
• Jason Michael Derr, DDS
• Kadria N Derrick, MD
• Katherine K. Derry, LPC
• Michelle L Derusso, M.D.
• Ryan Dervay
• Linda Renee Dervis
• Aditi Desai
• Aesha Desai, LPC-A, NCC, CCTP
• Alpesh D Desai

• Emergency Medicine Physician in Houston, TX
• Providers in Houston, TX by specialty
• Emergency Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2010; 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.