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MOIRA L MCDERMOTT LOWER CAPE PODIATRY NPI 1013119544


NPI Information

NPI: 1013119544
Provider Name: MOIRA L MCDERMOTT LOWER CAPE PODIATRY
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
4 GRANITE STATE CT
BREWSTER, MA
ZIP 02631
Phone: (508) 255-1100
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MOIRA L MCDERMOTT LOWER CAPE PODIATRY is a podiatrist in Brewster, MA. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. MOIRA L MCDERMOTT LOWER CAPE PODIATRY NPI is 1013119544. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4 GRANITE STATE CT
BREWSTER, MA
ZIP 02631-127
Phone: (508) 255-1100

The provider's authorized official is Sheila Duffy .
The authorized official title is Office Manager and has the following contact phone number (508) 255-1100.

The enumeration date for this NPI number is 6/5/2007 and was last updated on 4/16/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213E00000XPodiatristYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1729636OTHERMASSACHUSETTSTUFTS GROUP#
21082400001MEDICARE NSCMASSACHUSETTS
3H670OTHERMASSACHUSETTSHARVARD GROUP #
4Y77135MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTSMEDICARE GROUP
5Y77135OTHERMASSACHUSETTSBC GROUP#
6H679OTHERMASSACHUSETTSHARVARD PILGRIM

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

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