T Craig Derian MD PLLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

31269 Issued in NC

Legal business name

T CRAIG DERIAN MD PLLC

Practice address

4206 N Roxboro Street
Suite 120
Durham, NC 27704-1868

Phone

(919) 479-4160

Fax

(919) 479-4116

NPI assigned

Mar 7, 2007

Last updated

Sep 30, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Thomas Craig Derian, MD

Title

President

Phone

(919) 479-4160

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Ward Jarvis, P.A.-C.

  • Surgical Physician Assistant
  • Durham, NC
  • NPI 1841251477
  NPD (past)

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254268800000",
    "number": "1528199379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4206 N ROXBORO STREET",
            "address_2": "SUITE 120",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277041868",
            "telephone_number": "919-479-4160",
            "fax_number": "919-479-4116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4206 N ROXBORO STREET",
            "address_2": "SUITE 120",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277041868",
            "telephone_number": "919-479-4160",
            "fax_number": "919-479-4116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T CRAIG DERIAN MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2009-09-30",
        "status": "A",
        "authorized_official_last_name": "DERIAN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "CRAIG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-479-4160",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NC",
            "license": "31269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS CORPORATE NUMBER",
            "identifier": "0217N",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS CORPORATE NUMBER",
            "identifier": "0127N",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Tiffany T. Taber, PA-C

• Orthopaedic Surgery Physician in Durham, NC
• Providers in Durham, NC by specialty
• Orthopaedic Surgery Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.