HOSEP H DEYRMENJIAN, MD, PC (NPI# 1043482250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043482250 |
| Entity Type | Organization |
| Organization Name | HOSEP H DEYRMENJIAN, MD, PC |
| Practice Address |
6440 Grand Ave Suite 205 Gurnee IL 60031-5257 |
| Practice Telephone | 8478553150 |
| Practice Fax Number | 8478553143 |
| Mailing Telephone | 8478553150 |
| Mailing Fax Number | 8478553143 |
| Enumeration Date | 2008-03-27 |
| Last Update Date | 2008-03-27 |
| Authorized Official Name | DR. HOSEP H DEYRMENJIAN (OWNER) |
| Authorized Official Telephone | 8478553150 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
36079535 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 36079535 | 05 | |
| IL | BLUE CROSS BLUE SHIELD | 4920692 | 01 |
| Street Address |
6440 GRAND AVE SUITE 205 |
| City | GURNEE |
| State | IL |
| Zip Code | 60031-5257 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750381273 | Timothy Charles Samelson | Pediatrics | 6440 Grand Ave, Suite 202, Gurnee, IL 60031-5257 | 2005-07-27 |
| 1972744027 | Midwest Sleep Medical Equipment | Durable Medical Equipment & Medical Supplies | 6440 Grand Ave, 203, Gurnee, IL 60031-5257 | 2009-03-19 |
| 1538347406 | Uropartners LLC | Urology | 6440 Grand Ave, Suite 206, Gurnee, IL 60031-5257 | 2008-02-03 |
| 1871637454 | Bruce A. Brown, M.d., S.c. | Specialist | 6440 Grand Ave, Suite 206, Gurnee, IL 60031-5257 | 2007-02-16 |
| 1912923269 | Bruce Allen Brown | Urology | 6440 Grand Ave, Suite 206, Gurnee, IL 60031-5257 | 2006-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881174720 | Rockelle Waggoner | Behavioral Analyst | 489 Tanglewood Dr, Gurnee, IL 60031 | 2018-08-20 |
| 1316434376 | Lake County Internal Medicine Assoc LLC | Non-Pharmacy Dispensing Site | 15 Tower Ct., Ste 190, Gurnee, IL 60031 | 2018-04-16 |
| 1588163364 | Advanced Endodontics, PC | Dentist | 103 S. Greenleaf Street, Suite K, Gurnee, IL 60031 | 2018-02-07 |
| 1578081550 | Northshore Medical Consultants, Ltd | Family Medicine | 1425 Hunt Club Rd. #302, Gurnee, IL 60031 | 2017-08-30 |
| 1336678739 | Sarah Beth Fugelseth | Nurse Practitioner | 1445 N Hunt Club Rd Ste 304, Gurnee, IL 60031 | 2017-06-08 |
| 1174079867 | Lifecarepros, LLC | In Home Supportive Care | 223 North Route 21, Gurnee, IL 60031 | 2016-09-01 |
| 1740733195 | Ryan Lee Winslow | Chiropractor | 6021 Washington St, Unit B, Gurnee, IL 60031 | 2016-08-02 |
| 1891129599 | Smart Scan Mri, LLC | Clinic/Center | 350 S. Greenleaf, Suite 401, Gurnee, IL 60031 | 2013-08-29 |
| 1568720076 | Yudelca Romano | Genetic Counselor, MS | 1125 Tri State Parkway, Gurnee, IL 60031 | 2012-05-03 |
| 1558637348 | Laura E Novak | Social Worker | 4212 Old Grand Avenue, Gurnne, IL 60031 | 2012-03-27 |
| Find all providers in zip 60031 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710979729 | Hosep H Deyrmenjian | Internal Medicine | 1445 Hunt Club Rd, Ste 303, Gurnee, IL 60031 | 2005-08-16 |
| 1003817180 | Fred B Rosenberg | Internal Medicine | 20 Tower Ct, Suite C, Gurnee, IL 60031-5711 | 2005-08-10 |
| 1194727420 | John W Matseshe | Internal Medicine | 1445 N Hunt Club Rd Ste 303, Gurnee, IL 60031-2603 | 2005-05-31 |
| 1487284881 | John W Matseshe Md Pllc | Internal Medicine | 1445 N Hunt Club Rd Ste 303, Gurnee, IL 60031-2603 | 2020-01-24 |
| 1811150725 | Jonathan Alan Rosenberg | Internal Medicine | 20 Tower Ct, Suite C, Gurnee, IL 60031-5711 | 2008-07-10 |
| 1467578294 | Lake Shore Gastroenterology | Internal Medicine | 20 Tower Ct, Suite C, Gurnee, IL 60031-5711 | 2007-03-22 |
| 1104828532 | Walter Reid Glaws | Internal Medicine | 20 Tower Ct, Suite C, Gurnee, IL 60031-5711 | 2005-08-15 |
| 1225030687 | Everett P Kirch | Internal Medicine | 20 Tower Ct, Suite C, Gurnee, IL 60031-5711 | 2005-08-15 |
| 1447252804 | Cynthia A Wait | Internal Medicine | 20 Tower Ct, Suite C, Gurnee, IL 60031-5711 | 2005-08-15 |
| 1235131673 | Kevin Liebovich | Internal Medicine | 20 Tower Ct, Suite C, Gurnee, IL 60031-5711 | 2005-08-15 |
| Find all providers in GURNEE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.