Healthcare Provider Details

I. General information

NPI: 1679011647
Provider Name (Legal Business Name): DARRIN ERIC DORAN D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/09/2017
Last Update Date: 04/21/2025
Certification Date: 04/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 SCHUYLKILL MEDICAL PLZ
POTTSVILLE PA
17901-3660
US

IV. Provider business mailing address

1743 TALL OAKS RD
ORWIGSBURG PA
17961-9540
US

V. Phone/Fax

Practice location:
  • Phone: 570-621-9270
  • Fax: 570-621-9271
Mailing address:
  • Phone: 570-955-7940
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number2021-01198
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMED-PHYS-LIC-95803
License Number StateMT
# 3
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberOT017560
License Number StatePA
# 4
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number0102206808
License Number StateVA
# 5
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberOS019522
License Number StatePA
# 6
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number20A23962
License Number StateCA
# 7
Primary TaxonomyN
Taxonomy Code207QB0002X
TaxonomyObesity Medicine (Family Medicine) Physician
License Number20A23962
License Number StateCA
# 8
Primary TaxonomyN
Taxonomy Code207QB0002X
TaxonomyObesity Medicine (Family Medicine) Physician
License Number0102206808
License Number StateVA
# 9
Primary TaxonomyN
Taxonomy Code207QB0002X
TaxonomyObesity Medicine (Family Medicine) Physician
License Number2021-01198
License Number StateNC
# 10
Primary TaxonomyN
Taxonomy Code207QB0002X
TaxonomyObesity Medicine (Family Medicine) Physician
License NumberMED-PHYS-LIC-95803
License Number StateMT
# 11
Primary TaxonomyY
Taxonomy Code207QB0002X
TaxonomyObesity Medicine (Family Medicine) Physician
License NumberOS019522
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: