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DR. MARC S MCDERMOTT MD NPI 1164452637


NPI Information

NPI: 1164452637
Provider Name: DR. MARC S MCDERMOTT, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
77 HOSPITAL AVENUE, SUITE 302
AMBULATORY CARE CENTER
NORTH ADAMS, MA
ZIP 01247
Phone: (413) 663-8365
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DR. Marc S Mcdermott, MD is a pediatrics in North Adams, MA. 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. DR. Marc S Mcdermott, MD NPI is 1164452637. 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:

77 HOSPITAL AVENUE, SUITE 302
AMBULATORY CARE CENTER
NORTH ADAMS, MA
ZIP 01247-538
Phone: (413) 663-8365
Fax: (413) 662-2363

The enumeration date for this NPI number is 7/3/2006 and was last updated on 11/9/2011.


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
12080P0204XPediatricsPediatric Emergency Medicine5223923-1205UTAHNo
2208000000XPediatrics5223923-1205UTAHYes

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
1H99716MEDICARE UPINUTAH
2121348200MEDICAIDWYOMING
3D5339MEDICAIDUTAH
4806860000MEDICAIDIDAHO
5100503184MEDICAIDNEVADA
60142817MEDICAIDMONTANA
7005796604MEDICARE ID-TYPE UNSPECIFIEDUTAH

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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