MR. CHRISTOPHER MCDERMOTT MD NPI 1396738076

NPI Information

NPI: 1396738076
Provider Name: MR. CHRISTOPHER MCDERMOTT, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual

PECOS Registration: Yes

Address:
320 POMFRET ST
DKH PEDIATRIC CENTER
PUTNAM, CT
ZIP 06260
Phone: (860) 963-6390
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MR. Christopher Mcdermott, MD is a pediatrics in Putnam, CT. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. MR. Christopher Mcdermott, MD NPI is 1396738076. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

320 POMFRET ST
DKH PEDIATRIC CENTER
PUTNAM, CT
ZIP 06260-836
Phone: (860) 963-6390
Fax: (860) 963-6343

The NPI 1396738076 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/26/2005 and was last updated on 7/16/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		040448	CONNECTICUT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	010040448CT01	OTHER	CONNECTICUT	ANTHEM BLUE CROSS
2	060646599	OTHER	CONNECTICUT	MULTIPLAN
3	060646599	OTHER	CONNECTICUT	EBPA / NORTHEAST HEALTH D
4	060646599	OTHER	CONNECTICUT	PRIVATE HEALTHCARE SYSTEM
5	2117234	OTHER	CONNECTICUT	FIRST HEALTH
6	7988333	OTHER	CONNECTICUT	AETNA
7	060646599	OTHER	CONNECTICUT	CIPA / CCC IPA
8	060646599	OTHER	CONNECTICUT	GREAT WEST
9	040448	OTHER	CONNECTICUT	CONNECTICARE
10	060646599	OTHER	CONNECTICUT	COMMUNITY HEALTH NETWORK
11	1187570	OTHER	CONNECTICUT	CIGNA
12	060646599	OTHER	CONNECTICUT	UNITED HEATHCARE
13	060646599	OTHER	CONNECTICUT	PIONEER
14	201494	OTHER	CONNECTICUT	PREFERRED ONE/FIRST CHOIC
15	5412114	OTHER	CONNECTICUT	CCN
16	060646599	OTHER	CONNECTICUT	NEHCA / HMC PPO
17	2V1888	OTHER	CONNECTICUT	HELATH NET
18	001404483CL	MEDICAID	CONNECTICUT
19	P2647031	OTHER	CONNECTICUT	OXFORD
20	060646599001	OTHER	CONNECTICUT	HEALTH NET FEDERAL SERVIC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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