John K Derderian (NPI# 1477595445, PAC ID# 7113917089) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is HOSPITALIST.
| Nation Provider ID (NPI) | 1477595445 |
| PAC ID by PECOS | 7113917089 |
| Professional Enrollment ID | I20040513000583 |
| Full Name | John K Derderian |
| Organization Legal Name | PHOENIXVILLE CLINIC COMPANY LLC |
| Address |
140 Nutt Rd Phoenixville PA 19460-3906 |
| Phone Number | 6109831000 |
| Gender | M |
| Credential | MD |
| Medical School | PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2000 |
| Primary Specialty | HOSPITALIST |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 5799796850 |
| Number of Group Practice Members | 54 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390044 | READING HOSPITAL |
| 390076 | BRANDYWINE HOSPITAL |
| 390127 | PHOENIXVILLE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 201 Reeceville Rd, Coatesville, PA 19320-1542 | 6103838000 | COATESVILLE CLINIC COMPANY LLC |
| 140 Nutt Rd, Phoenixville, PA 19460-3906 | 6109831000 | PHOENIXVILLE CLINIC COMPANY LLC |
| 301 S 7th Ave, 3120 Neonatology Outpatient Tower Health Medical Group, West Reading, PA 19611-1412 | 4846288843 | TOWER HEALTH MEDICAL GROUP |
| 420 S 5th Ave, West Reading, PA 19611-2143 | TOWER HEALTH MEDICAL GROUP | |
| 420 S 5th Ave Bldg N Group, Hematology Oncology Tower Health Medical Group, West Reading, PA 19611-2143 | 4846280900 | TOWER HEALTH MEDICAL GROUP |
| 420 S 5th Ave K Building, Addiction Medicine Tower Health Medical Group, West Reading, PA 19611-2143 | 4846285858 | TOWER HEALTH MEDICAL GROUP |
| 420 S 5th Ave N Bldg Ground Floor, Gynecologic Oncology Tower Health Medical Group, West Reading, PA 19611-2143 | 4846288905 | TOWER HEALTH MEDICAL GROUP |
| 6 Th Ave and Spruce St, West Reading, PA 19611-1412 | TOWER HEALTH MEDICAL GROUP |
| Organization Legal Name | PHOENIXVILLE CLINIC COMPANY LLC |
| Physicians | 49 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Neelam Tailor | Hospitalist | Phoenixville Clinic Company LLC | 140 Nutt Rd, Phoenixville, PA 19460-3906 |
| Eric Yeh | Family Medicine | Phoenixville Clinic Company LLC | 300 Schuylkill Rd, Phoenixville, PA 19460-5202 |
| Tianming Zhou | Family Medicine | Phoenixville Clinic Company LLC | 302 2nd St, Suite 201, Collegeville, PA 19473-1106 |
| Natuarbhai R Patel | Family Medicine | Phoenixville Clinic Company LLC | 2792 Egypt Rd, Audobon Medical Associates, Audubon, PA 19403-2200 |
| Joshua A Werner | Emergency Medicine | Phoenixville Clinic Company LLC | 140 Nutt Rd, Phoenixville, PA 19460-3906 |
| Martin Joseph Vinca | General Surgery | Phoenixville Clinic Company LLC | 826 Main St, Suite 302, Phoenixville, PA 19460-4459 |
| Vadim A Levin | Cardiovascular Disease (cardiology) | Phoenixville Clinic Company LLC | 140 Nutt Rd, Phoenixville, PA 19460-3906 |
| Bruce Weiner | General Surgery | Phoenixville Clinic Company LLC | 140 Nutt Rd, Phoenixville, PA 19460-3906 |
| Leonas Gedimi Bekeris | Pathology | Phoenixville Clinic Company LLC | 140 Nutt Rd, Phoenixville, PA 19460-3906 |
| Susan E Stitt | Family Medicine | Phoenixville Clinic Company LLC | 140 Nutt Rd, Phoenixville, PA 19460-3906 |
| Street Address |
140 NUTT RD |
| City | PHOENIXVILLE |
| State | PA |
| Zip | 19460-3906 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Neelam Tailor | Hospitalist | Phoenixville Clinic Company LLC | 140 Nutt Rd, Phoenixville, PA 19460-3906 |
| Joshua A Werner | Emergency Medicine | Phoenixville Clinic Company LLC | 140 Nutt Rd, Phoenixville, PA 19460-3906 |
| Vadim A Levin | Cardiovascular Disease (cardiology) | Phoenixville Clinic Company LLC | 140 Nutt Rd, Phoenixville, PA 19460-3906 |
| Bruce Weiner | General Surgery | Phoenixville Clinic Company LLC | 140 Nutt Rd, Phoenixville, PA 19460-3906 |
| Mark A Bennett | Anesthesiology | North American Partners In Anesthesia, Pennsylvania, LLC | 140 Nutt Rd, Phoenixville Hospital, Phoenixville, PA 19460-3906 |
| Leonas Gedimi Bekeris | Pathology | Phoenixville Clinic Company LLC | 140 Nutt Rd, Phoenixville, PA 19460-3906 |
| Susan E Stitt | Family Medicine | Phoenixville Clinic Company LLC | 140 Nutt Rd, Phoenixville, PA 19460-3906 |
| Hima V Arramraju | Physician Assistant | Phoenixville Clinic Company LLC | 140 Nutt Rd, Phoenixville, PA 19460-3906 |
| Neil Gulati | Emergency Medicine | Phoenixville Clinic Company LLC | 140 Nutt Rd, Phoenixville, PA 19460-3906 |
| Mathew D Woodley | Emergency Medicine | Phoenixville Clinic Company LLC | 140 Nutt Rd, Phoenixville, PA 19460-3906 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lucas R Baird | Optometry | 1570 Egypt Rd, Suite 250, Phoenixville, PA 19460-1193 | |
| Zheng Chen | Optometry | Happy Vision Eye Clinic, LLC | 1570 Egypt Rd, Suite 250, Phoenixville, PA 19460-1193 |
| Robert Scott Livingston | Chiropractic | 1067 Township Line Rd, Phoenixville, PA 19460-1808 | |
| Megan L Kolter | Family Medicine | Monarch Medical, LLC | 265 Schuylkill Rd, Phoenixville, PA 19460-1879 |
| Stacey J Kuhns | Family Medicine | 267 Schuylkill Rd, Phoenixville, PA 19460-1879 | |
| Geenander K Raju | Nurse Practitioner | Monarch Medical, LLC | 265 Schuylkill Rd, Phoenixville, PA 19460-1879 |
| Denisse Dececco | Nurse Practitioner | Monarch Medical, LLC | 265 Schuylkill Rd, Phoenixville, PA 19460-1879 |
| Daniel J Csaszar | Family Medicine | Monarch Medical, LLC | 265 Schuylkill Rd, Phoenixville, PA 19460-1879 |
| Robyn Jill Baron | Family Practice | Monarch Medical, LLC | 265 Schuylkill Rd, Phoenixville, PA 19460-1879 |
| Nancy C Hykel-malone | Internal Medicine | Monarch Medical, LLC | 265 Schuylkill Rd, Phoenixville, PA 19460-1879 |
| Find all physicians in zip 19460 | |||
| City | PHOENIXVILLE |
| Zip Code | 19460 |
| Specialty | HOSPITALIST |
| City + Specialty | PHOENIXVILLE + HOSPITALIST |
Please comment or provide details below to improve the information on John K Derderian.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.