Daniel McDermott, D.O.
Individual provider Active NPI Emergency Medicine Physician · Deland, FL
NPI 1922494137 · NPPES record last updated Jun 7, 2018
Key facts
- NPI
- 1922494137
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- OS15303 (FL)
- Practice address
- 701 W Plymouth Ave
Deland, FL 32720 - Phone
- (386) 943-4522
- NPI assigned
- Apr 14, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Owned or controlled facilities with NPI records 2
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 2
| Facility | Type | Role | Since |
|---|---|---|---|
| Adventhealth Palm Coast |
Hospital | Corporate Director | Dec 12, 2024 |
| Adventhealth Palm Coast Parkway |
Hospital | Corporate Director | Dec 12, 2024 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180618000464 | FL | Practitioner - Emergency Medicine | 8123334927 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 79428 | GA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medicine Professionals PA | Emergency Medicine | Current |
Accepting new patients |
Locations
701 W Plymouth Ave
Deland, FL 32720
Phone (386) 943-3160
1055 Saxon Blvd
Orange City, FL 32763
Phone (386) 917-5000
60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 79428 | GA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Emergency Medicine Physician | 207P00000X | OS15303 | FL | Yes |
Addresses
Primary practice location
701 W Plymouth Ave
Deland, FL 32720
Mailing address
PO Box 9430
Daytona Beach, FL 32120-9430
Phone (386) 274-7800
Other practice location 1
655 W 8th St # C506
Jacksonville, FL 32209-6511
Phone (904) 244-3817
Other providers in Deland, FL
- Patti C McBride-Kapalchik
- Travis Michael McBride
- Dara N. McCoy
- Norleen R McCoy
- Henry Kenneth McCullough
- McEppk
- John Earl McFarland
- Justin James McNamee
- Karla Ann McNish
- Rena McPherron
All providers in Deland, FL · Emergency Medicine Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 7, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.