Nicole B McDermott MD PC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

44410 Issued in CO

Legal business name

NICOLE B MCDERMOTT MD PC

Practice address

1906 Blake Avenue
Glenwood Springs, CO 81601

Phone

(970) 945-6535

NPI assigned

Jan 24, 2008

Last updated

Apr 24, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nicole B McDermott, MDNPI 1871710285

Title

President

Phone

(303) 906-4078

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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.

• Nicole B McDermott, M D

  • Anesthesiology Physician
  • Glenwood Springs, CO
  • NPI 1871710285
  Authorized official Same address or phone

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

{
    "created_epoch": "1201132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208995200000",
    "number": "1609053313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 203",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816020203",
            "telephone_number": "970-945-1443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 BLAKE AVENUE",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "81601",
            "telephone_number": "970-945-6535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLE B MCDERMOTT MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-24",
        "last_updated": "2008-04-24",
        "status": "A",
        "authorized_official_last_name": "MCDERMOTT",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-906-4078",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CO",
            "license": "44410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20939329",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Anesthesiology Physician in Glenwood Springs, CO
• Providers in Glenwood Springs, CO by specialty
• Anesthesiology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; 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.