DR. DAVID WILLIAM MCDERMOTT JR. (NPI# 1720166119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720166119 |
| Entity Type | Individual |
| Full Name | DR. DAVID WILLIAM MCDERMOTT JR. |
| Credential | M.D. |
| Practice Address |
600 Ridgely Ave Ste 130 Annapolis MD 21401-1001 |
| Mailing Address |
1084 Carriage Hill Pkwy Annapolis MD 21401-6516 |
| Practice Telephone | 4102668049 |
| Practice Fax Number | 4102668054 |
| Mailing Telephone | 2108235894 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-07-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 227842 | MA | Allopathic & Osteopathic Physicians |
| Y | 208800000X | Urology | D70881 | MD | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114434032 | David John Mcdermott | Specialist/Technologist | Bldg. H1 Julian C Smith Rd., Camp Lejuene, NC 28547 | 2017-12-30 |
| 1508286311 | David Mcdermott | Student in an Organized Health Care Education/Training Program | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2014-04-18 |
| 1801919824 | David Hugh Mcdermott | Internal Medicine | 9000 Rockville Pike, Bldg. 10, Room 11n107a, Bethesda, MD 20892-1886 | 2007-04-06 |
| 1033133251 | David Francis Mcdermott | Internal Medicine | 330 Brookline Ave, Boston, MA 02215-5400 | 2006-07-27 |
| 1316981749 | David B. Mcdermott | Family Medicine | 897 W Main St, Dover Foxcroft, ME 04426-1029 | 2006-06-15 |
| 1730184177 | David William Mcdermott | Specialist | 600 Ridgely Ave, Ste 130, Annapolis, MD 21401-1045 | 2005-06-14 |
| Street Address |
600 RIDGELY AVE STE 130 |
| City | ANNAPOLIS |
| State | MD |
| Zip Code | 21401-1001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164426045 | Anne Arundel Urology, Pa | Specialist | 600 Ridgely Ave, Ste 130, Annapolis, MD 21401-1045 | 2005-06-09 |
| 1164961744 | Chesapeake Open Mri LLC | Radiology | 600 Ridgely Ave, Suite 100, Annapolis, MD 21401-1001 | 2017-02-16 |
| 1114339447 | Kaitlin Jaqua | Urology | 600 Ridgely Ave, Ste 130, Annapolis, MD 21401-1045 | 2014-05-21 |
| 1629338322 | Chesapeake Hearing Centers, Inc. | Clinic/Center | 600 Ridgely Ave, Ste 110, Annapolis, MD 21401-1001 | 2012-05-29 |
| 1619236973 | Christopher Emilio Graziano | Surgery | 600 Ridgely Ave, Annapolis, MD 21401-1001 | 2012-05-08 |
| 1003108549 | Shaoqing Zhou | Urology | 600 Ridgely Ave, Annapolis, MD 21401-1001 | 2011-05-03 |
| 1457588048 | Heather Denise Langford | Speech-Language Pathologist | 600 Ridgely Ave, Suite 230, Annapolis, MD 21401-1001 | 2009-06-22 |
| 1346476462 | Bic Nhu Cung | Urology | 600 Ridgely Ave, Annapolis, MD 21401-1001 | 2009-06-03 |
| 1487888053 | Amy A Hoffman | Physician Assistant | 600 Ridgely Ave, Annapolis, MD 21401-1001 | 2009-05-11 |
| 1275730673 | Robert B. Meek, IIi, M.d.pa. | Specialist | 600 Ridgely Ave, Suite 110, Annapolis, MD 21401-1001 | 2007-06-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497377154 | Michael Khorsandi | Student in an Organized Health Care Education/Training Program | 2001 Medical Parkway, Clatanoff Pavillon, Gmw Office, Annapolis, MD 21401 | 2020-05-15 |
| 1275172033 | Katrice N Nelson | Massage Therapist | Wellsview Cottage Center, 613 Ridgely Avenue, Annapolis, MD 21401 | 2019-12-27 |
| 1548803521 | Victoria Reimnitz | Behavioral Analyst | 2028 Indusrtrial Dr, Ste B&c, Annapolis, MD 21401 | 2019-10-23 |
| 1700438140 | Emily Megan Burke | Nurse Practitioner | 200 Forbes St Annapolis, Md 21401, Suite 200, Annapolis, MD 21401 | 2019-07-16 |
| 1316504848 | Sherina Maryam Shamsa | Counselor | 1830 Forest Drive, Suite H-2, Annapolis, MD 21401 | 2019-05-21 |
| 1497225288 | Jerilyn Deitch | Speech-Language Pathologist | Anne Arundel County Public Schools, 2644 Riva Rd, Annapolis, MD 21401 | 2018-12-05 |
| 1487124038 | Lucinda W Mimms | Speech-Language Pathologist | 2644 Riva Rd., Annapolis, MD 21401 | 2018-11-27 |
| 1487145496 | Michelle Baudean | Behavior Technician | 1919 West St Ste 201, Annapolis, MD 21401 | 2018-05-24 |
| 1730678954 | Stephanie Ruth Streb | Registered Nurse | 130 Admiral Cochrane Dr Ste 103, Annapolis, MD 21401 | 2018-05-02 |
| 1780183947 | Annapolis Sleep Center LLC | Clinic/Center | 2451 Riva Rd, Annapolis, MD 21401 | 2018-02-02 |
| Find all providers in zip 21401 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134471592 | Jackson Estes Fowler Jr. | Urology | 1307 Beachview Rd, Annapolis, MD 21403-5007 | 2012-10-10 |
| 1336355668 | Ronald Kretkowski | Urology | 2973 Southaven Dr, Annapolis, MD 21401-7104 | 2007-05-15 |
| 1154319549 | Kevin Mcgeagh | Urology | 600 Ridgely Ave Ste 130, Annapolis, MD 21401-1045 | 2005-10-10 |
| 1982608782 | John E. Danneberger | Urology | 600 Ridgely Ave Ste 222, Annapolis, MD 21401-1073 | 2005-06-09 |
| 1699169169 | Fei Lian | Urology | 600 Ridgely Ave Ste 130, Annapolis, MD 21401-1045 | 2015-03-23 |
| 1114339447 | Kaitlin Jaqua | Urology | 600 Ridgely Ave, Ste 130, Annapolis, MD 21401-1045 | 2014-05-21 |
| 1508276734 | Troy Anthony Sukhu | Urology | 600 Ridgely Ave Ste 222, Annapolis, MD 21401-1073 | 2014-04-28 |
| 1831484476 | Kari H Bailey | Urology | 600 Ridgely Ave Ste 130, Annapolis, MD 21401-1045 | 2011-06-11 |
| 1003108549 | Shaoqing Zhou | Urology | 600 Ridgely Ave, Annapolis, MD 21401-1001 | 2011-05-03 |
| 1346476462 | Bic Nhu Cung | Urology | 600 Ridgely Ave, Annapolis, MD 21401-1001 | 2009-06-03 |
| Find all providers in ANNAPOLIS | ||||
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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.