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TIMOTHY J MCDERMOTT MD NPI 1972613487


NPI Information

NPI: 1972613487
Provider Name: TIMOTHY J MCDERMOTT, MD
Classification: Internal Medicine - 207RI0011X
Entity Type: Individual

Specialization: Interventional Cardiology

Organization: MERCY HEALTH PHYSICIANS KENTUCKY SPECIALTY CARE LLC

PECOS Registration: Yes

Address:
1532 LONE OAK RD STE 415
PADUCAH, KY
ZIP 42003
Phone: (270) 442-0103
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Timothy J Mcdermott, MD is an interventional cardiology internal medicine in Paducah, KY with 40 years of experience. The provider is an area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. Timothy J Mcdermott, MD NPI is 1972613487. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduation Year:1984

The provider's business location address is:

1532 LONE OAK RD STE 415
PADUCAH, KY
ZIP 42003
Phone: (270) 442-0103
Fax: (270) 442-0109

The NPI 1972613487 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 8/30/2006 and was last updated on 10/1/2018.


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
1207RC0000XInternal MedicineCardiovascular DiseaseE7468ARKANSASNo
2207RC0000XInternal MedicineCardiovascular DiseaseR3N07MISSOURINo
3207RI0011XInternal MedicineInterventional CardiologyLT15153NORTH DAKOTANo
4207RI0011XInternal MedicineInterventional Cardiology51912KENTUCKYYes

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
1P01161167OTHERMISSOURIRAILROAD MEDICARE
2192825001MEDICAIDARKANSAS
31972613487MEDICAIDMISSOURI
4202840617MEDICAIDMISSOURI

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.