Individual provider Active NPI

James M McDermott, D.O.

  • Family Medicine Physician
  • Cedar Vale, KS
National Provider Identifier
1427079953
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
22862 Issued in KS
Practice address
501 Walnut
Cedar Vale, KS 67024-0578
Phone
(620) 758-2221
Fax
(620) 758-2468
NPI assigned
Jul 21, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 22862 KS Primary

Addresses

Primary practice location

501 Walnut
Cedar Vale, KS 67024-0578

Mailing address

PO Box 578
501 Walnut
Cedar Vale, KS 67024-0578
Phone (620) 758-2221

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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

Enrollment IDStateProvider typePAC IDDetails
I20040826001257 KS Practitioner - Family PracticePractitioner - Geriatric Medicine 6002881711 Receives reassigned benefits from 8 practitioners
Practice locations: Sedan, KS

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
22862KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
James M McDermott DO Family Medicine Past Accepting new patients
James M. McDermott D.O. Family Medicine PastSince Nov 8, 2012 Accepting new patients

Practitioners & affiliated clinicians

Practitioners 8

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.

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427079953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 578",
            "address_2": "501 WALNUT",
            "city": "CEDAR VALE",
            "state": "KS",
            "postal_code": "670240578",
            "telephone_number": "620-758-2221",
            "fax_number": "620-758-2468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 WALNUT",
            "city": "CEDAR VALE",
            "state": "KS",
            "postal_code": "670240578",
            "telephone_number": "620-758-2221",
            "fax_number": "620-758-2468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDERMOTT",
        "first_name": "JAMES",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "22862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Vale, KS

Sources for this page

Verify at the official NPI Registry.