DR. NANCY ELLEN MCDERMOTT (NPI# 1679549182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679549182 |
| Entity Type | Individual |
| Full Name | DR. NANCY ELLEN MCDERMOTT |
| Credential | DMD MD |
| Practice Address |
605 W Oakland Ave Semoms Austin MN 55912-2317 |
| Practice Telephone | 5074331031 |
| Practice Fax Number | 5074336115 |
| Mailing Telephone | 5074331031 |
| Mailing Fax Number | 5074336115 |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2017-05-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
S121 | MN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801368162 | Nancy L Mcdermott | Technician | 1460 Talamore Ln, Melbourne, FL 32940-6308 | 2018-12-27 |
| 1952522534 | Nancy M Mcdermott | Nurse Practitioner | 3722 S. Harlem Ave. Ste 202 Ll, North Riverside, IL 60546 | 2007-05-01 |
| 1699735274 | Nancy J Mcdermott | Pediatrics | 9397 Crown Crest Blvd Ste 330, Parker, CO 80138-8788 | 2006-03-27 |
| 1780950550 | Nancy Mcdermott | Counselor | 331 Shaw Ave, Mckeesport, PA 15132-2918 | 2012-03-27 |
| Street Address |
605 W OAKLAND AVE SEMOMS |
| City | AUSTIN |
| State | MN |
| Zip Code | 55912-2317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104019744 | Southeastern Minnesota Oral & Maxillofacial Surgery Associates | Clinic/Center | 605 W Oakland Ave, Austin, MN 55912-2317 | 2007-08-27 |
| 1538286851 | Deborah Ann Voogd | Licensed Practical Nurse | 605 W Oakland Ave, Austin, MN 55912-2317 | 2007-03-23 |
| 1598882805 | Jennifer T Dreyer | Licensed Practical Nurse | 605 W Oakland Ave, Austin, MN 55912-2317 | 2007-03-23 |
| 1326165648 | Nancy Ann Holland | Licensed Practical Nurse | 605 W Oakland Ave, Austin, MN 55912-2317 | 2007-03-23 |
| 1578680898 | Candace Louise Bakker | Licensed Practical Nurse | 605 W Oakland Ave, Austin, MN 55912-2317 | 2007-03-23 |
| 1609810795 | Richard B Young | Dentist | 605 W Oakland Ave, Austin, MN 55912-2317 | 2006-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710538152 | Reliable Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 313 2nd Ave Ne, Austin, MN 55912 | 2019-09-26 |
| 1669029831 | David Kuehn | Specialist/Technologist | 1508 Main St. N, Austin, MN 55912 | 2019-08-22 |
| 1841844396 | Heather A Peterson | Social Worker | 101 21st Street Se, Austin, MN 55912 | 2019-08-01 |
| 1477058287 | Gerard Academy | Counselor | 1101 28th St Ne, Austin, MN 55912 | 2018-03-26 |
| 1821518739 | Steven Register | Specialist/Technologist | 1803 2nd Ave Sw, Austin, MN 55912 | 2017-06-21 |
| 1366849259 | Kristen Ashley Templeton | Dentist | 800 1st Avenue Sw, Austin, MN 55912 | 2014-11-20 |
| 1336560333 | Rem Woodvale, Inc. Cottonwood | Intermediate Care Facility, Mentally Retarded | 2311 9th Avenue Sw, Austin, MN 55912 | 2013-12-18 |
| 1780923458 | Kurt Baumgartner | Hearing Instrument Specialist | 507 1 St Nw, Austin, MN 55912 | 2013-01-31 |
| 1396059242 | Lorna Kay Siefke-harbor | Psychologist | 902 19th Ave Sw, Austin, MN 55912 | 2010-08-03 |
| 1972777068 | Stanley Brent Stutzman | Psychologist | 301 12 Place Nw, Austin, MN 55912 | 2008-04-18 |
| Find all providers in zip 55912 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033733365 | Ernesto Carmona Jr Dds PC | Dentist | 10125a Lake Creek Pkwy, Austin, TX 78729-1711 | 2020-06-02 |
| 1205360252 | Central Texas Implant Center Pllc | Dentist | 7320 N Mo Pac Expy, #200, Austin, TX 78731-2338 | 2017-04-17 |
| 1811343718 | T & S Omfs Pllc | Dentist | 1015 W 34th St, Austin, TX 78705-2008 | 2016-05-10 |
| 1932450020 | Garey Chayra | Dentist | 6352 Tasajillo Trl, Austin, TX 78739-1416 | 2012-09-28 |
| 1497938468 | Matthew C. Largent | Dentist | 4306 Medical Pkwy Ste 2, Austin, TX 78756-3312 | 2007-12-12 |
| 1104008861 | Travis W. Kern | Dentist | 7800 Mopac Expwy, Suite 270, Austin, TX 78759 | 2007-12-04 |
| 1730373580 | Claude-jean Langevin | Dentist | 911 W 38th St Ste 101, Austin, TX 78705-9918 | 2007-09-04 |
| 1407917800 | Henry Marcantoni | Dentist | 10801 N Mo Pac Expy, Bldg. 2 Ste.130, Austin, TX 78759-5459 | 2006-12-12 |
| 1346330396 | James John Flaggert IIi | Dentist | 11615 Angus Rd., Suite 118, Austin, TX 78759-4065 | 2006-10-13 |
| 1114018124 | Central Texas Oral Surgery Assc. | Dentist | 3200 Red River, #400, Austin, TX 78705 | 2006-09-27 |
| Find all providers in AUSTIN | ||||
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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.