Organization Active NPI

Hovik Taymoorian DO PA

  • Gynecology Physician
  • Pasadena, MD
National Provider Identifier
1639349319
Registry record updated Aug 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
H0054974 Issued in MD
Legal business name
HOVIK TAYMOORIAN DO PA
Practice address
8028 Ritchie Hwy
Suite 126
Pasadena, MD 21122-1075
Phone
(410) 768-6702
Fax
(410) 768-6704
NPI assigned
Mar 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2011

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

Authorized official

Name
Danielle Rose Taymoorian
Title
Manager
Phone
(410) 768-6702

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X H0054974 MD Primary

Addresses

Primary practice location

8028 Ritchie Hwy
Suite 126
Pasadena, MD 21122-1075

Mailing address

8028 Ritchie Hwy
Suite 126
Pasadena, MD 21122-1075
Phone (410) 768-6702

Other identifiers 1

IdentifierTypeStateIssuer
018202800MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110906000319 MD Part B Supplier - Clinic/Group Practice 6709056591 Receives reassigned benefits from 1 practitioner
Practice locations: Pasadena, MD

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D0976669Hovik Taymoorian DO PA8028 Ritchie Highway Suite 126, Pasadena, MD 21122Provider-performed microscopySep 12, 2027

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": "1205107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313020800000",
    "number": "1639349319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8028 RITCHIE HWY",
            "address_2": "SUITE 126",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211221075",
            "telephone_number": "410-768-6702",
            "fax_number": "410-768-6704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8028 RITCHIE HWY",
            "address_2": "SUITE 126",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211221075",
            "telephone_number": "410-768-6702",
            "fax_number": "410-768-6704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOVIK TAYMOORIAN DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-10",
        "last_updated": "2011-08-11",
        "status": "A",
        "authorized_official_last_name": "TAYMOORIAN",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "410-768-6702"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "MD",
            "license": "H0054974",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018202800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.