Active NPI
Robert William McDermott III, M.D.
- Emergency Medicine Physician
- Billings, MT
National Provider Identifier
1861703340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 036.131121
- Practice address
- 2800 10TH Ave N
Billings, MT 59101 - Phone
- (406) 238-2500
- NPI assigned
- Jun 29, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 125058416 | IL | |
| Emergency Medicine Physician | 207P00000X | 036.131121 | IL | Primary |
Addresses
Primary practice location
2800 10TH Ave N
Billings, MT 59101
Mailing address
PO Box 35100
Billings, MT 59107-5100
Phone (406) 238-2500
Other practice location 1
4440 W 95th St
Dept. of Emergency Medicine
Oak Lawn, IL 60453-2600
Phone (708) 684-5375
Other practice location 2
4440 W 95th St
Dept. of Emergency Medicine
Oak Lawn, IL 60453-2600
Phone (708) 684-5375
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.131121 | IL | MD | Emergency Medicine Physician |
| 125058416 | IL | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555891200000",
"number": "1861703340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 35100",
"city": "BILLINGS",
"state": "MT",
"postal_code": "591075100",
"telephone_number": "406-238-2500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 10TH AVE N",
"city": "BILLINGS",
"state": "MT",
"postal_code": "59101",
"telephone_number": "406-238-2500"
}
],
"practiceLocations": [
{
"address_1": "4440 W 95th St",
"address_2": "Dept. of Emergency Medicine",
"address_purpose": "LOCATION",
"city": "Oak Lawn",
"state": "IL",
"postal_code": "604532600",
"country_code": "US",
"telephone_number": "708-684-5375",
"fax_number": "708-684-1028",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4440 W 95th St",
"address_2": "Dept. of Emergency Medicine",
"address_purpose": "LOCATION",
"city": "Oak Lawn",
"state": "IL",
"postal_code": "604532600",
"country_code": "US",
"telephone_number": "708-684-5375",
"fax_number": "708-684-1028",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCDERMOTT",
"first_name": "ROBERT",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-29",
"last_updated": "2019-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "IL",
"license": "125058416",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": "036.131121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Billings, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.