LEONARD DAVID MCDERMID (NPI# 1053412361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053412361 |
| Entity Type | Individual |
| Full Name | LEONARD DAVID MCDERMID |
| Credential | MD |
| Practice Address |
4867 Michigan Trail Eastport MI 49627-0267 |
| Mailing Address |
Po Box 267 Eastport MI 49627-0267 |
| Practice Telephone | 2315999911 |
| Practice Fax Number | 2315999911 |
| Mailing Telephone | 2315999911 |
| Mailing Fax Number | 2315999911 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 2084F0202X |
Psychiatry & Neurology Specialization: Forensic Psychiatry |
4301024925 | MI | Allopathic & Osteopathic Physicians |
| X | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
4301024925 | MI | Allopathic & Osteopathic Physicians |
| X | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
4301024925 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
4867 MICHIGAN TRAIL |
| City | EASTPORT |
| State | MI |
| Zip Code | 49627-0267 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972940641 | Eastport Village Care Home | Assisted Living Facility | 5988 M-88, Eastport, MI 49627 | 2013-06-04 |
| 1578767893 | Torch Lake Township | Ambulance | 2355 Us 31 N, Eastport, MI 49627 | 2007-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356905434 | Kenley Jean | Licensed Practical Nurse | 32 Eastpond Ln, Eastport, NY 11941-1303 | 2019-04-24 |
| 1821572231 | Peter Rauchut | Registered Nurse | 7 Raffaella Dr, Eastport, NY 11941-1448 | 2018-09-20 |
| 1326580036 | Janis Hurley | Social Worker | 8 Lakeview Ct, Eastport, NY 11941-1208 | 2016-11-11 |
| 1689129678 | Miranda Schultz | Licensed Practical Nurse | 108 Eastport Manor Rd, Eastport, NY 11941-1434 | 2016-08-18 |
| 1457703316 | Brittney Taylor | Licensed Practical Nurse | 43 Eastpond Ln, Eastport, NY 11941-1304 | 2016-07-05 |
| 1659799211 | Diana Huebner | Speech-Language Pathologist | 1 Tuttle Ave, Eastport, NY 11941-1308 | 2014-04-01 |
| 1164849691 | Eastport Family Pharmacy | Pharmacy | 34 Middle St, Eastport, ME 04631 | 2014-03-21 |
| 1740622836 | Kevin Garner Sample | Social Worker | Eastport Health Care, 30 Boynton Street, Eastport, ME 04631 | 2013-07-18 |
| 1972940641 | Eastport Village Care Home | Assisted Living Facility | 5988 M-88, Eastport, MI 49627 | 2013-06-04 |
| 1942646880 | Peter J Repole, Dmd, PC | Dentist | 30 Deep Cove Rd, Eastport, ME 04631-3221 | 2013-05-20 |
| Find all providers in EASTPORT | ||||
| Taxonomy Code | 2084F0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Forensic Psychiatry |
| Forensic Psychiatry is a subspecialty with psychiatric focus on interrelationships with civil, criminal and administrative law, evaluation and specialized treatment of individuals involved with the legal system, incarcerated in jails, prisons, and forensic psychiatry hospitals. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346689130 | Thomas William Behrmann | Psychiatry & Neurology | 711 Mooreville Rd, Milan, MI 48160-9564 | 2013-06-14 |
| 1376884049 | Steven Alan Myers V | Psychiatry & Neurology | 144 Candee Ln, Marquette, MI 49855-9302 | 2013-03-06 |
| 1225331234 | Lynn Waldo Blunt Sr. | Psychiatry & Neurology | 2954 Philadelphia Dr, Ann Arbor, MI 48103-6813 | 2010-12-13 |
| 1154518512 | Kirtida A Patel | Psychiatry & Neurology | 3201 Bemis Road, Huron Valley Complex-men's, Ypsilanti, MI 48197 | 2007-10-01 |
| 1396965448 | Rita Garg | Psychiatry & Neurology | Center for Forensic Psychiatry, Box2060, Ann Arbor, MI 48106-2060 | 2007-04-30 |
| 1457409088 | Gerald Alan Shiener | Psychiatry & Neurology | 251 E Merrill St, Suite 230, Birmingham, MI 48009-6121 | 2007-01-08 |
| 1588726921 | Eleanor M Medina | Psychiatry & Neurology | 60 Balfour Dr, Bloomfield Hills, MI 48304-2100 | 2006-12-14 |
| 1518044585 | Thomas O Osinowo | Psychiatry & Neurology | 730 N Monroe St # 200, Monroe, MI 48162-2972 | 2006-11-01 |
| 1700812765 | Harriette Denice Green | Psychiatry & Neurology | 109 Lawrence St, Detroit, MI 48202-1045 | 2006-06-23 |
| 1184662454 | Debra Anne Pinals | Psychiatry & Neurology | 4250 Plymouth Road, Ann Arbor, MI 48109-2700 | 2006-06-02 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.