MISS LAUREN MICHELLE MCDERMOTT (NPI# 1619295193) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619295193 |
| Entity Type | Individual |
| Full Name | MISS LAUREN MICHELLE MCDERMOTT |
| Credential | PA-C |
| Practice Address |
501 Redmond Rd Nw Rome GA 30165-1415 |
| Practice Telephone | 7062914950 |
| Enumeration Date | 2010-05-09 |
| Last Update Date | 2012-03-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 005821 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407180177 | Lauren Mcdermott | Physician Assistant | 4320 Seminary Rd, Alexandria, VA 22304-1535 | 2009-09-28 |
| Street Address |
501 REDMOND RD NW |
| City | ROME |
| State | GA |
| Zip Code | 30165-1415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174571541 | Hitesh Keshavbhai Patel | Internal Medicine | 501 Redmond Rd Nw, 6th Floor, Rome, GA 30165-1415 | 2006-05-05 |
| 1124636527 | Alan Phrommala | Physician Assistant | 501 Redmond Rd Nw, Rome, GA 30165-1415 | 2020-07-21 |
| 1750908927 | Cassidy Davis | Radiologic Technologist | 501 Redmond Rd Nw, Rome, GA 30165-1415 | 2020-07-02 |
| 1003445495 | Brice Peter Bowerman | Student in an Organized Health Care Education/Training Program | 501 Redmond Rd Nw, Rome, GA 30165-1415 | 2020-04-07 |
| 1669001970 | Erica Laine Venable | Student in an Organized Health Care Education/Training Program | 501 Redmond Rd Nw, Rome, GA 30165-1415 | 2020-04-07 |
| 1427687847 | Sebastian Hawkins | Student in an Organized Health Care Education/Training Program | 501 Redmond Rd Nw, Rome, GA 30165-1415 | 2020-04-07 |
| 1205465713 | Clifford Wayne Gordon Jr. | Student in an Organized Health Care Education/Training Program | 501 Redmond Rd Nw, Rome, GA 30165-1415 | 2020-04-06 |
| 1861021370 | Robert Novak | Student in an Organized Health Care Education/Training Program | 501 Redmond Rd Nw, Rome, GA 30165-1415 | 2020-04-06 |
| 1336778976 | John Edward Whalen Jr. | Student in an Organized Health Care Education/Training Program | 501 Redmond Rd Nw, Rome, GA 30165-1415 | 2020-04-06 |
| 1942839568 | Carson Womack | Student in an Organized Health Care Education/Training Program | 501 Redmond Rd Nw, Rome, GA 30165-1415 | 2020-04-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346868775 | Heather Bowman | Physical Therapist | 600 Eagle, E Lake Dr, Rome, GA 30165 | 2020-07-13 |
| 1205451101 | Kristopher Nelson | Student in an Organized Health Care Education/Training Program | 4256, 304 Shorter Ave Nw #201, Rome, GA 30165 | 2020-06-16 |
| 1962061457 | Stuart Paul Shaklee | Occupational Therapy Assistant | 1356 Redmond Road, Rome, GA 30165 | 2019-06-10 |
| 1386001055 | Autumn Streetman | Counselor | 6 Mathis Drive, Rome, GA 30165 | 2016-01-26 |
| 1144695784 | Gabrador Milligan | Counselor | 6 Mathis Road, Rome, GA 30165 | 2015-12-08 |
| 1386041952 | Theresa Suits | Registered Nurse | 1 Woodbine Avenue, Rome, GA 30165 | 2014-11-26 |
| 1942561147 | Nicole C. Christian | Clinical Neuropsychologist | 305 Redmond Rd, Rome, GA 30165 | 2012-06-04 |
| 1679832711 | Niki Pareshkumar Bhavsar | Internal Medicine | 3041 Turner Mccall Blvd, Rome, GA 30165 | 2012-05-10 |
| 1285927491 | Amanda Fischer Reeves | Family Medicine | 304 Shorter Ave Nw Ste 102, Rome, GA 30165 | 2011-05-20 |
| 1033436647 | Northland Hearing Centers, Inc. | Hearing Instrument Specialist | 4 Coosawattee Ave, Rome, GA 30165 | 2010-04-23 |
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| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518587781 | Chandler Holcombe | Physician Assistant | 100 Three Rivers Dr Ne, Rome, GA 30161-4999 | 2020-04-17 |
| 1609400886 | Morgan Elise Benson Baker | Physician Assistant | 123 Three Rivers Dr Ne, Rome, GA 30161-2300 | 2020-02-26 |
| 1548805401 | Mallory Elizabeth Osborne | Physician Assistant | 330 Turner Mccall Blvd Sw, Rome, GA 30165-5630 | 2019-11-14 |
| 1710522933 | William Edward Johnson | Physician Assistant | 550 Redmond Rd Nw, Rome, GA 30165-1416 | 2019-11-12 |
| 1225670532 | Caleb Elisha Etheridge | Physician Assistant | 1825 Martha Berry Blvd Nw, Rome, GA 30165-1625 | 2019-10-09 |
| 1659934321 | Tara Simonson | Physician Assistant | 310 W 10th St Ne, Rome, GA 30165-2639 | 2019-04-18 |
| 1255805180 | Amanda Lynn Preteroti | Physician Assistant | 504 Redmond Rd Nw, Rome, GA 30165-1416 | 2019-01-14 |
| 1528535036 | Jaskirt Kaur Chahal | Physician Assistant | 1617 N James St, Rome, NY 13440-2852 | 2018-11-01 |
| 1205311131 | Austin James Malcom | Physician Assistant | 550 Redmond Rd Nw, Rome, GA 30165-1416 | 2018-09-26 |
| 1215439286 | Swaraj Suhas Hublikar | Physician Assistant | 1825 Martha Berry Blvd Nw, Rome, GA 30165-1625 | 2018-03-06 |
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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.