DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DR. MICHAEL JAMES MCDERMOTT M.D.

MEDICARE: DR. MICHAEL JAMES MCDERMOTT M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207X00000XOrthopaedic Surgery PhysicianG73655CA
2207XX0005XSports Medicine (Orthopaedic Surgery) PhysicianG73655CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
200G736553OTHERCACIGNA DME
3G73655OTHERCALICENSE

General Provider Information

NPI Number : 1750365102
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL JAMES MCDERMOTT M.D.
Provider Business Mailing Address
First Line : 1405 MONTGOMERY DR
Second Line :
City : SANTA ROSA
State : CA
Zip : 95405-4557
Country : US
Telephone Number : 707-546-1922
Fax Number : 707-546-1897
Provider Business Practice Location Address
First Line : 1405 MONTGOMERY DR
Second Line :
City : SANTA ROSA
State : CA
Zip : 95405-4557
Country : US
Telephone Number : 707-546-1922
Fax Number : 707-546-1897
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/30/2005
Last Update Date : 10/08/2014

Similar Medicare Providers

1194768747 — DR. MICHAEL J STAR M.D.
Practice Location Address:
1405 MONTGOMERY DR
SANTA ROSA, CA
95405-4557
Practice Phone: 707-546-1922
Practice Fax: 707-546-1987
1558304188 — DR. KAI UWE MAZUR M.D.
Practice Location Address:
1405 MONTGOMERY DR
SANTA ROSA, CA
95405-4557
Practice Phone: 707-546-1922
Practice Fax: 707-546-1987
1073556635 — DR. THOMAS C DEGENHARDT M.D.
Practice Location Address:
1405 MONTGOMERY DR
SANTA ROSA, CA
95405-4557
Practice Phone: 707-546-1922
Practice Fax: 707-546-1987
1083657654 — DR. MARK E. SCHAKEL II M.D.
Practice Location Address:
1405 MONTGOMERY DR
SANTA ROSA, CA
95405-4557
Practice Phone: 707-546-1922
Practice Fax: 707-546-1897
1952344525 — DR. GARY A STEIN M.D.
Practice Location Address:
1405 MONTGOMERY DR
SANTA ROSA, CA
95405-4557
Practice Phone: 707-546-1922
Practice Fax: 707-546-1987
1023176450 — CAROLYN BARTLETT O.T., C.H.T.
Practice Location Address:
1405 MONTGOMERY DR
SANTA ROSA, CA
95405-4557
Practice Phone: 707-546-1922
Practice Fax:

Directions to “ DR. MICHAEL JAMES MCDERMOTT M.D.” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.