Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jack Elias Kazanjian, DO

Individual provider Adult Reconstructive Orthopaedic Surgery Physician · NPI 1407880032

Dr. Jack Elias Kazanjian, DO is an Orthopedic Surgery in Havertown, Pennsylvania. Graduated from Philadelphia College of Osteopathic Medicine in 1998, 28 years ago. Practices with Premier Orthopaedic and Sports Medicine Associates, Ltd, a 219-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
28
Trained at
Philadelphia College of Osteopathic Medicine
Licensed in
PA
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

510 Darby Rd
Havertown, PA 19083-4630
Phone: (610) 449-6499
Fax: (610) 449-9814
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Reconstructive Orthopaedic Surgery Physician (primary) Taxonomy 207XS0114X · Licence OS010372L (PA)

Record details

NPI number1407880032
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 10, 2006
Last updated in NPPESSeptember 5, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolPHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 1998 (28 years in practice)
Group practice Premier Orthopaedic And Sports Medicine Associates, Ltd — 219 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare