McDerm Aesthetics, LLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

MCDERM AESTHETICS, LLC

Practice address

111 Kamaiki Cir
Kahului, HI 96732-3154

Phone

(808) 385-5301

NPI assigned

Jun 14, 2024

Organization subpart

No

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

Authorized official

Name

Dr. William Jordan McDermott, MDNPI 1821256835

Title

Owner

Phone

(808) 385-5301

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William Jordan McDermott, M.D.

  • Anesthesiology Physician
  • Anchorage, AK
  • NPI 1821256835
  NPD Authorized official

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

{
    "created_epoch": "1718323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718323200000",
    "number": "1497598775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 KAMAIKI CIR",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967323154",
            "telephone_number": "808-385-5301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 KAMAIKI CIR",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967323154",
            "telephone_number": "808-385-5301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "239 Hoohana St",
            "address_purpose": "LOCATION",
            "city": "Kahului",
            "state": "HI",
            "postal_code": "967322452",
            "country_code": "US",
            "telephone_number": "808-893-0578",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MCDERM AESTHETICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-14",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A",
        "authorized_official_last_name": "MCDERMOTT",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "JORDAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-385-5301",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Tadashi Mayeda X, D.D.S.
• Mikiala Lee Maynard, DNP, FNP, APRN-RX
• Jillian McAlear, DPT
• Sarah Ann McCloud, DPT
• Tiffany McDaniel, RBT
• Leslie McEnery
• Matt McIntire, BCBA
• David J McKinley, LCSW
• Brad McLaughlin
• Siera Janae McNallan, MOTR

• Anesthesiology Physician in Kahului, HI
• Providers in Kahului, HI by specialty
• Anesthesiology Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; 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.