Organization Active NPI

Hagop L Derkrikorian, MD, PC

  • Neurological Surgery Physician
  • Media, PA
National Provider Identifier
1932395928
Registry record updated Feb 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
HAGOP L DERKRIKORIAN, MD, PC
Practice address
1098 W Baltimore Pike
Suite 3306
Media, PA 19063-5139
Phone
(610) 566-7787
Fax
(610) 892-9127
NPI assigned
Sep 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2008

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

Authorized official

Name
Dr. Hagop Levon Derkrikorian, M.D.
Title
President
Phone
(610) 566-7787

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X Primary

Addresses

Primary practice location

1098 W Baltimore Pike
Suite 3306
Media, PA 19063-5139

Mailing address

1098 W Baltimore Pike
Suite 3306
Media, PA 19063-5139
Phone (610) 566-7787

Other identifiers 2

IdentifierTypeStateIssuer
0030876000OtherPAIBC
2146620000OtherDEIBC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203984000000",
    "number": "1932395928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1098 W BALTIMORE PIKE",
            "address_2": "SUITE 3306",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190635139",
            "telephone_number": "610-566-7787",
            "fax_number": "610-892-9127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1098 W BALTIMORE PIKE",
            "address_2": "SUITE 3306",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190635139",
            "telephone_number": "610-566-7787",
            "fax_number": "610-892-9127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAGOP L DERKRIKORIAN, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-24",
        "last_updated": "2008-02-26",
        "status": "A",
        "authorized_official_last_name": "DERKRIKORIAN",
        "authorized_official_first_name": "HAGOP",
        "authorized_official_middle_name": "LEVON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-566-7787",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC",
            "identifier": "0030876000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC",
            "identifier": "2146620000",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Media, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.