John C McDermott, MD

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

License

23150 Issued in WI

Practice address

2130 University Ave Apt 118
Madison, WI 53726-2354

Phone

(000) 000-0000

NPI assigned

Mar 9, 2006

Last updated

Jan 25, 2021By 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

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Richland Hospital

  • Critical Access Hospital
  • Richland Center, WI
  • NPI 1659301273
  Medicare reassignment NPD
• Richland Hospital

  dba Community Pharmacy at The Richland Hospital

  • Community/Retail Pharmacy
  • Richland Center, WI
  • NPI 1558127480
  NPD

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611532800000",
    "number": "1235107061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 UNIVERSITY AVE APT 118",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537262354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 UNIVERSITY AVE APT 118",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537262354",
            "telephone_number": "000-000-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDERMOTT",
        "first_name": "JOHN",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "WI",
            "license": "23150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirsten McCullough, MD
• Sinceray McCullough, PSS
• Emily J. McCutcheon, PA-C
• Mary Beth McDade, LMT
• Sarah A McDaniels, PHD
• Jordan McDermott
• Matthew McDermott
• Alexander Richard McDonald, MD
• Anna McDonald, SLP
• Bethany Kay McDonald, PA-C

• Vascular & Interventional Radiology Physician in Madison, WI
• Providers in Madison, WI by specialty
• Vascular & Interventional Radiology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.