Individual provider Active NPI

Hovik Taymoorian, D.O., P.A.

  • Obstetrics & Gynecology Physician
  • Pasadena, MD
National Provider Identifier
1790749679
Registry record updated Aug 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
H0054974 Issued in MD
Practice address
8028 Ritchie Hwy
Suite 126
Pasadena, MD 21122-1075
Phone
(410) 768-6702
Fax
(410) 768-6704
NPI assigned
Apr 17, 2006
Sex
Male
Sole proprietor
Yes

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040414001537 MD Practitioner - Obstetrics/Gynecology 0345234928 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Philadelphia College of Osteopathic Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

8028 Ritchie Hwy
Suite 126
Pasadena, MD 21122-1069
Phone (410) 768-6702

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine, Physician Assistant

State licenses

LicenseStateTypeSpecialty
H0054974MDMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hovik Taymoorian DO PA CurrentSince Jan 15, 2001 Accepting new patients
Medstar Medical Group II LLC CurrentSince Oct 15, 2023 Accepting new patients
Harbor Hospital Past Accepting new patients
St. Agnes Healthcare, Inc. Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Harbor Hospital, Inc. Past Accepting new patients

Locations

3001 S Hanover St
Brooklyn Park, MD 21225
Phone (410) 350-3200

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

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313020800000",
    "number": "1790749679",
    "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": {
        "last_name": "TAYMOORIAN",
        "first_name": "HOVIK",
        "credential": "D.O., P.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-17",
        "last_updated": "2011-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MD",
            "license": "H0054974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, MD

Sources for this page

Verify at the official NPI Registry.