Jerome Derdel, MD

Individual Active
NPI 1104812601
Therapeutic Radiology Physician State College, PA

NPI 1104812601 belongs to Jerome Derdel, MD, a therapeutic radiology physician with a practice location in State College, PA. The NPI was issued on September 21, 2005, and the record was last updated in NPPES on June 21, 2023. The record lists 2 taxonomy codes.

Taxonomies and licenses

TaxonomyCodeLicense
Therapeutic Radiology Physician Primary 2085R0203X MD038685L (PA)
Radiation Oncology Physician 2085R0001X MD038685L (PA)

Practice location

1800 E Park Ave
State College, PA 16803-6709
Phone: (814) 234-6726

Local context

Active NPPES records list 1 provider with therapeutic radiology physician as the primary taxonomy within 25 miles of this practice location's ZIP code.

The same primary taxonomy is listed by 17 in Pennsylvania and 311 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Jerome D. Derdel
Status
Active
NPI issued
Last updated in NPPES

Is this your record? Updates are made through NPPES, the official National Plan and Provider Enumeration System.

NPPES data as of · Source: CMS NPPES

Building software? Fetch this NPI programmatically with the NPILayer Provider API.

curl
curl -H "Authorization: Bearer YOUR_API_KEY" \
  "https://api.npilayer.com/v1/providers/1104812601"

See the API · Get a free API key