Active NPI
Martin McDermott MD PC
- Family Medicine Physician
- Fort Lupton, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- MARTIN MCDERMOTT MD PC
- Practice address
- 327 Park Ave
Fort Lupton, CO 80621-1929 - Phone
- (303) 857-2711
- Fax
- (303) 857-1408
- NPI assigned
- Sep 28, 2006
- Last updated
- Feb 11, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Martin Daniel McDermott, M.D.
- Title
- Owner
- Phone
- (303) 857-2711
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
327 Park Ave
Fort Lupton, CO 80621-1929
Mailing address
327 Park Ave
Fort Lupton, CO 80621-1929
Phone (303) 857-2711
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 06D0516535 | Martin McDermott MD PC | Certificate of waiver | Mar 3, 2028 |
National Provider Directory
National Provider DirectoryLocations
327 Park Ave
Fort Lupton, CO 80621
Phone (303) 857-2711
Practitioners & affiliated clinicians
Practitioners 12
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
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- Family Medicine Physician
- Fort Lupton, CO
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Family Medicine
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1202688000000",
"number": "1205928264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "327 PARK AVE",
"city": "FORT LUPTON",
"state": "CO",
"postal_code": "806211929",
"telephone_number": "303-857-2711",
"fax_number": "303-857-1408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "327 PARK AVE",
"city": "FORT LUPTON",
"state": "CO",
"postal_code": "806211929",
"telephone_number": "303-857-2711",
"fax_number": "303-857-1408"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARTIN MCDERMOTT MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-28",
"last_updated": "2008-02-11",
"status": "A",
"authorized_official_last_name": "MCDERMOTT",
"authorized_official_first_name": "MARTIN",
"authorized_official_middle_name": "DANIEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "303-857-2711",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lupton, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.