Active NPI
Hovik Taymoorian DO PA
- Gynecology Physician
- Pasadena, MD
National Provider Identifier
1639349319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- H0054974
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 018202800 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 21D0976669 | Hovik Taymoorian DO PA | Provider-performed microscopy | Sep 12, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Pasadena, MD
- NPI 1790749679
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.