GREGORY P. DERDERIAN D.O., P.C.
NPI 1922108240
Surgery - Vascular Surgery in Clarkston, MI

Q: What is Gregory P. Derderian D.O., P.C.'s NPI number?

The NPI number for Gregory P. Derderian D.O., P.C. is 1922108240. It was assigned to this organization in the NPPES registry on September 25, 2006.

Q: What is Gregory P. Derderian D.O., P.C.'s specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Active since September 25, 2006

6770 DIXIE HWY, 106A, CLARKSTON, MI 48346(248) 922-9371(586) 493-3828 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Gregory P. Derderian D.o., P.c. NPPES

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

GREGORY P. DERDERIAN D.O., P.C. (NPI 1922108240) is a healthcare organization registered as a vascular surgery in Clarkston, Michigan and active in the NPI registry since September 2006. The organization lists Gregory P Derderian, Presideent, as its authorized official.

NPPES Registry Identity

NPI1922108240

Entity TypeOrganization

Primary Taxonomy2086S0129X

Legal Business NameGREGORY P. DERDERIAN D.O., P.C.

Location Address6770 DIXIE HWY, 106AClarkston, MI 48346-2087

Mailing Address6770 Dixie Hwy, 106aClarkston, MI 48346-2087 · (248) 922-9371 · Fax (586) 493-3828

Phone(248) 922-9371

Fax(586) 493-3828

Organization SubpartNo

Authorized OfficialGregory P DerderianPresideent · (586) 493-3175

Enumeration DateSeptember 25, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1922108240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0129X

License✔ Licensed in MI · 5101007182

Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

6770 DIXIE HWY, Clarkston, MI 48346

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Other Identifiers 1

Medicaid4406461MI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

UNITED EAGLE IMAGING, LLC

Radiology (Diagnostic Radiology)

6770 DIXIE HWY, STE 107
CLARKSTON, MI 48346

Oakland County (248) 625-7506

ALLISON EYE CARE INC

Optometrist

6770 DIXIE HWY, SUITE 203
CLARKSTON, MI 48346

Oakland County (248) 922-1111

RICHARD S SCHWARTZ M D DERMATOLOGY P C

Dermatology

6770 DIXIE HWY, SUITE 304
CLARKSTON, MI 48346

Oakland County (248) 625-1123

DR. KAY T. MILLER M.D.

Radiology (Radiation Oncology)

6770 DIXIE HWY, SUITE #106
CLARKSTON, MI 48346

Oakland County (248) 625-0300

MIRO-CLARKSTON

Radiology (Radiation Oncology)

6770 DIXIE HWY, SUITE 106
CLARKSTON, MI 48346

Oakland County (248) 625-0300

MRS. DEBORHA TYCOLIZ CAMPBELL PSY. S. LLP

Psychologist

6770 DIXIE HWY, SUITE 312
CLARKSTON, MI 48346

Oakland County (248) 922-2300

B. G. PATEL, M.D. PLC

Family Medicine

6770 DIXIE HWY, STE 303
CLARKSTON, MI 48346

Oakland County (248) 625-0030

PETER SHAMAN, M.D., PC

Obstetrics & Gynecology

6770 DIXIE HWY, STE 313
CLARKSTON, MI 48346

Oakland County (248) 625-8555

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 Gregory P. Derderian D.O., P.C.'s NPI number?

The NPI number for Gregory P. Derderian D.O., P.C. is 1922108240. It was assigned to this organization in the NPPES registry on September 25, 2006.

Where is Gregory P. Derderian D.O., P.C. located?

Gregory P. Derderian D.O., P.C. is located at 6770 Dixie Hwy 106A, Clarkston, MI 48346. The listed phone number is (248) 922-9371.

What is Gregory P. Derderian D.O., P.C.'s specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

When was this NPI record last updated?

The NPPES record for Gregory P. Derderian D.O., P.C. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.