NPIMap

Organization Active NPI

Demirjian Neurology & Pain Management, Inc.

  • Interventional Pain Medicine Physician
  • Centerville, OH
National Provider Identifier
1487846804
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
35048624D Issued in OH
Legal business name
DEMIRJIAN NEUROLOGY & PAIN MANAGEMENT, INC.
Practice address
7034 Corporate Way
Centerville, OH 45459-4237
Phone
(937) 298-3800
Fax
(937) 296-0272
NPI assigned
Aug 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Dr. Charles Demirjian, MDNPI 1144222480
Title
President
Phone
(937) 298-3800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X 35048624D OH Primary

Addresses

Primary practice location

7034 Corporate Way
Centerville, OH 45459-4237

Mailing address

3732 Blossom Heath Rd
Dayton, OH 45419-1109
Phone (937) 298-3800

Other identifiers 8

IdentifierTypeStateIssuer
0500446OtherUNITED HEATHCARE
383369570-00OtherOHBWC
383369570006OtherMEDICAL MUTUAL OF OHIO
D48624OtherHUMANA CHOICE
000000037042OtherANTHEM
0518461MedicaidOH
383369570013OtherMEDICAL MUTUAL OF OHIO
2086574OtherAETNA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1186704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1487846804",
    "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"
        },
        {
            "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": {
        "organization_name": "DEMIRJIAN NEUROLOGY & PAIN MANAGEMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-10",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "DEMIRJIAN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-298-3800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "OH",
            "license": "35048624D",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEATHCARE",
            "identifier": "0500446",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BWC",
            "identifier": "383369570-00",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTUAL OF OHIO",
            "identifier": "383369570006",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA CHOICE",
            "identifier": "D48624",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000037042",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0518461",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTUAL OF OHIO",
            "identifier": "383369570013",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2086574",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Centerville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.