Marcos McDermott

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

12164935-1702 Issued in UT

Practice address

1959 Wall Ave
Ogden, UT 84401-0313

Phone

(385) 576-0202

NPI assigned

Oct 15, 2026

Last updated

Oct 15, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1792022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792022400000",
    "number": "1174429229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10920 S RIVER FRONT PKWY",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840953538",
            "telephone_number": "385-576-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1959 WALL AVE",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844010313",
            "telephone_number": "385-576-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDERMOTT",
        "first_name": "MARCOS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-10-15",
        "last_updated": "2026-10-15",
        "certification_date": "2026-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "UT",
            "license": "12164935-1702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Frew McCormack, INTERN
• Danielle McCormick
• Nevaeh Sage McCoy
• Shaney A McCoy, ACMHC
• Gabriel McCrary
• Courtney McDonald
• Kyle Denton McDonald
• Melissa McDonald, MD
• Kristina Rae McDougal, LCSW
• Bentley R McEntire, M.D.

• Student in an Organized Health Care Education/Training Program in Ogden, UT
• Providers in Ogden, UT by specialty
• Student in an Organized Health Care Education/Training Program in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.