IDRISSA DERRA
NPI 1194309989
Contractor in Brunswick, OH

Active since May 08, 2021
3906 TURNBRIDGE CT UNIT 311, BRUNSWICK, OH 44212(216) 801-5639 Get Directions Write a Review

NPPES record last updated: November 28, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 28, 2022, May 10, 2021, May 8, 2021 (3 updates tracked since 2021).

About Idrissa Derra NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IDRISSA DERRA (NPI 1194309989) is an individual contractor provider in Brunswick, Ohio and active in the NPI registry since May 2021.

NPPES Registry Identity

NPI1194309989
Entity TypeIndividualMale
Primary Taxonomy171W00000X
Provider Legal NameIDRISSA DERRA
Location Address3906 TURNBRIDGE CT UNIT 311Brunswick, OH 44212-3093
Mailing Address3906 Turnbridge Ct Unit 311Brunswick, OH 44212-3093 · (216) 801-5639
Sole ProprietorYes
Enumeration DateMay 8, 2021
Last NPPES UpdateNovember 28, 20223 updates tracked since enumeration
NPPES CertifiedNovember 27, 2022
NPI 1194309989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyContractorOther Service Providers
Taxonomy Code171W00000X
Definition
For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no relation to a provider's employment status.
3906 TURNBRIDGE CT UNIT 311, Brunswick, OH 44212

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Contractor
3906 TURNBRIDGE CT UNIT 311
BRUNSWICK, OH 44212

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Idrissa Derra's NPI number?

The NPI number for Idrissa Derra is 1194309989. It was assigned to this individual provider in the NPPES registry on May 8, 2021.

Where is Idrissa Derra located?

Idrissa Derra practices at 3906 Turnbridge Ct Unit 311, Brunswick, OH 44212. The listed phone number is (216) 801-5639.

What is Idrissa Derra's specialty?

The primary specialty registered for this NPI is Contractor with taxonomy code 171W00000X.

When was this NPI record last updated?

The NPPES record for Idrissa Derra was last updated on November 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.