Healthcare Provider Details

I. General information

NPI: 1831160126
Provider Name (Legal Business Name): JAMES ROBERT MCDERMOTT D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/27/2006
Last Update Date: 07/13/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

569 PIERCE ST
KINGSTON PA
18704-5731
US

IV. Provider business mailing address

700 S POTOMAC ST SUITE 6
WAYNESBORO PA
17268-2198
US

V. Phone/Fax

Practice location:
  • Phone: 570-288-5800
  • Fax: 570-288-5900
Mailing address:
  • Phone: 717-762-1773
  • Fax: 717-762-8544

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC-007572-L
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code111NX0100X
TaxonomyOccupational Health Chiropractor
License NumberAJ-007572-L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: