SARKIS T DERDERIAN (NPI# 1427036375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427036375 |
| Entity Type | Individual |
| Full Name | SARKIS T DERDERIAN |
| Credential | DO |
| Practice Address |
2728 Sunset Blvd West Columbia SC 29169-4840 |
| Mailing Address |
Po Box 6069 West Columbia SC 29171-6069 |
| Practice Telephone | 8032560464 |
| Practice Fax Number | 8032545121 |
| Enumeration Date | 2006-01-02 |
| Last Update Date | 2020-10-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
384 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 003846 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831416387 | Sarkis Christopher Derderian | Surgery | 1200 3rd Ave, Apt A, San Francisco, CA 94122-2740 | 2010-04-23 |
| Street Address |
2728 SUNSET BLVD |
| City | WEST COLUMBIA |
| State | SC |
| Zip Code | 29169-4840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528066909 | Lynn Moore Tucker | Surgery | 2728 Sunset Blvd, Suite 104, West Columbia, SC 29169-4840 | 2005-07-11 |
| 1063019453 | Lexington Health Inc | Durable Medical Equipment & Medical Supplies | 2728 Sunset Blvd, West Columbia, SC 29169-4840 | 2020-10-08 |
| 1265979827 | Jennifer Kathleen Marsh | Nurse Practitioner | 2728 Sunset Blvd, Suite 300, West Columbia, SC 29169-4840 | 2017-01-20 |
| 1699217810 | Katelyn H Call | Nurse Practitioner | 2728 Sunset Blvd, Suite 300, West Columbia, SC 29169-4840 | 2016-11-07 |
| 1912399742 | Shannon Uyeda Burrell | Nurse Practitioner | 2728 Sunset Blvd, Suite 300, West Columbia, SC 29169-4840 | 2015-03-03 |
| 1033469176 | Lexington County Health Services District, Inc. | Surgery | 2728 Sunset Blvd, Ste 105, West Columbia, SC 29169 | 2012-09-17 |
| 1134362320 | Todd Samuel Lefkowitz | Surgery | 2728 Sunset Blvd, Ste 105, West Columbia, SC 29169 | 2009-04-17 |
| 1417119017 | South Carolina Heart Center Pa | Internal Medicine | 2728 Sunset Blvd, Ste 401, West Columbia, SC 29169-4840 | 2008-06-26 |
| 1033393145 | Lexington County Health Services District, Inc. | Obstetrics & Gynecology | 2728 Sunset Blvd, Suite 106, West Columbia, SC 29169 | 2007-12-26 |
| 1013197631 | Truesdale & Morrow Urology | Urology | 2728 Sunset Blvd, Suite 301, West Columbia, SC 29169-4840 | 2007-11-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457960726 | Jerry Scott Oreilly | Physical Therapy Assistant | 100 Dreher Rd, Suite 100, West Columbia, SC 29169 | 2020-07-23 |
| 1134759921 | A&m Medical, LLC | Durable Medical Equipment & Medical Supplies | 1053 Sunset Boulevard, West Columbia, SC 29169 | 2020-01-21 |
| 1750946067 | First Physical Therapy, LLC | Clinic/Center | 100 Dreher Rd., Suite 100, West Columbia, SC 29169 | 2019-05-02 |
| 1295217545 | Tynaka Kwans Wilson | Nurse Practitioner | Sc House Calls Inc, 1053 Center Street, West Columbia, SC 29169 | 2018-09-04 |
| 1588183826 | Kimberly Jane Jennings | Registered Nurse | 1052 Center Street, Sc House Calls Inc, West Columbia, SC 29169 | 2017-09-19 |
| 1164943213 | Jacob Luke Wayland | Emergency Medicine | Lexington Medical Center-emergency Medicine Dept, 2720 Sunset Blvd, West Columbia, SC 29169 | 2017-06-29 |
| 1740721232 | Heather Detwiler | Physical Therapy Assistant | 2705 Leaphart Rd., Carolina Gardens, West Columbia, SC 29169 | 2017-03-16 |
| 1588110761 | Virginia I Hall | Nurse Practitioner | 2720 Susnet Blvd, West Columbia, SC 29169 | 2016-08-29 |
| 1215395744 | Stacey Khalifa | Social Worker | 160 Medical Cir Fl 1, West Columbia, SC 29169 | 2016-01-28 |
| 1407252331 | Sandy Frye Boone | Counselor | 2318 Sunset Blvd # 2a, West Columbia, SC 29169 | 2014-11-04 |
| Find all providers in zip 29169 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| 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 |
|---|---|---|---|---|
| 1235117151 | Paul M Kirschenfeld | Internal Medicine | 146 North Hospital Drive, Suite 400, West Columbia, SC 29169 | 2006-01-03 |
| 1326026287 | Michael C Marshall | Internal Medicine | 2728 Sunset Blvd Ste 104, West Columbia, SC 29169-4838 | 2006-01-02 |
| 1386242493 | Lexington Health Inc | Internal Medicine | 2728 Sunset Blvd Ste 104, West Columbia, SC 29169-4838 | 2020-10-12 |
| 1881855815 | Erin Rikard Hays | Internal Medicine | 2720 Sunset Blvd, West Columbia, SC 29169-4810 | 2008-06-23 |
| 1679652838 | Columbia Lung and Sleep Institute | Internal Medicine | 3231 Sunset Blvd, Suite F, West Columbia, SC 29169-3483 | 2006-11-06 |
| 1669405874 | Francis M Dayrit | Internal Medicine | 2728 Sunset Blvd Ste 104, West Columbia, SC 29169-4838 | 2006-07-09 |
| 1497795207 | Mohamed S Soliman | Internal Medicine | 2728 Sunset Blvd Ste 104, West Columbia, SC 29169-4838 | 2006-06-08 |
| 1528022423 | William Shawn Ghent | Internal Medicine | 2728 Sunset Blvd, West Columbia, SC 29169-4840 | 2006-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922630912 | Medasic | Internal Medicine | 300 John St Ste 4b, Greer, SC 29651-1463 | 2020-02-07 |
| 1043759137 | Rober Albertini Sr. | Internal Medicine | 45 Wood Duck Rd, Hilton Head, SC 29928-7105 | 2017-02-22 |
| 1861863185 | Midlands Pulmonary and Critical Care Specialists, PC | Internal Medicine | 1403 E Greenville St Ste C, Anderson, SC 29621-2049 | 2015-10-13 |
| 1871905166 | Minuteman Medicine LLC | Internal Medicine | 8036 Hyannis Ct, North Charleston, SC 29420-8967 | 2014-05-21 |
| 1114355344 | Clarendon Memorial Hospital | Internal Medicine | 619 S Mill St, Manning, SC 29102-2806 | 2013-10-25 |
| 1699010983 | Gary B Anderson | Internal Medicine | 1892 Brigadoone Ln, Florence, SC 29505-3235 | 2012-11-28 |
| 1164789251 | Southeast Lung & Critical Care Specialists, PC | Internal Medicine | 8 Okatie Center Blvd S, Suite 101, Bluffton, SC 29909-7532 | 2012-04-13 |
| 1518259977 | Hina Chaudhry | Internal Medicine | 2750 Laurel St Ste 200a, Columbia, SC 29204-2038 | 2011-05-04 |
| 1104159110 | Conway Hospital Inc | Internal Medicine | 2376 Cypress Cir, Ste 100, Conway, SC 29526-8964 | 2009-09-09 |
| 1528203205 | Kershawhealth | Internal Medicine | 1218 Roberts St, Camden, SC 29020-3736 | 2008-12-09 |
| Find all providers with the same taxonomy | ||||
| City | WEST COLUMBIA |
| Zip Code | 29169 |
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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.