DR. MICHAEL JAMES MCDERMOTT


Address: 1405 Montgomery Dr, Santa Rosa, CA 95405-4557
Phone: 7075461922

DR. MICHAEL JAMES MCDERMOTT (NPI# 1750365102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750365102
Entity Type Individual
Full Name DR. MICHAEL JAMES MCDERMOTT
Credential M.D.
Practice Address 1405 Montgomery Dr
Santa Rosa
CA 95405-4557
Practice Telephone 7075461922
Practice Fax Number 7075461897
Mailing Telephone 7075461922
Mailing Fax Number 7075461897
Enumeration Date 2005-11-30
Last Update Date 2014-10-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207X00000X Orthopaedic Surgery G73655 CA Allopathic & Osteopathic Physicians
N 207XX0005X Orthopaedic Surgery
Specialization: Sports Medicine
G73655 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA 00G736550 05
CA LICENSE G73655 01
CA CIGNA DME 00G736553 01

Other Providers MICHAEL MCDERMOTT

NPI Name Taxonomy Address Enumeration
1649481714 Michael Mcdermott Dentist 304 E River Rd, Brainerd, MN 56401-3560 2007-05-24
1275652349 Michael Mcdermott Optometrist 6131 Ridge Ave, Philadelphia, PA 19128-2625 2007-03-28
1427103381 Michael Arthur Mcdermott Optometrist 109 Town and Country Dr Ste E, Danville, CA 94526-3967 2007-01-23
1538119987 Michael J Mcdermott Podiatrist 14532 John Humphrey Dr, Orland Park, IL 60462 2006-05-10
1417202011 Michael James Mcdermott Counselor 152 Highway 7 S, Oxford, MS 38655-5392 2012-07-19
1841512597 Michael Francis Mcdermott General Acute Care Hospital 1900 West Polk Street, Chicago, IL 60612 2010-02-23
1518195189 Michael Steven Mcdermott Anesthesiologist Assistant 25501 Chagrin Blvd, Beachwood, OH 44122-5603 2009-06-23
1154411833 Michael Mcdermott Internal Medicine 12605 E 16th Ave, Aurora, CO 80045-2545 2006-10-13
1972695195 Michael W Mcdermott Specialist 8950 N Kendall Dr, Miami, FL 33176-2144 2006-09-28
1457300808 Michael Mcdermott Radiology 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 2006-05-10

Office Location

Street Address 1405 MONTGOMERY DR
City SANTA ROSA
State CA
Zip Code 95405-4557

Providers in the same location

NPI Name Taxonomy Address Enumeration
1487118105 Rodney Gerrit Dekleuver Physician Assistant 1405 Montgomery Dr, Santa Rosa, CA 95405-4557 2019-01-27
1083010813 Nadine Raymond Occupational Therapist 1405 Montgomery Dr, Santa Rosa, CA 95405-4557 2014-11-05
1043471279 Christian Nabil Athanassious Orthopaedic Surgery 1405 Montgomery Dr, Santa Rosa, CA 95405-4557 2008-06-20
1720272313 Neema Pourtaheri Orthopaedic Surgery 1405 Montgomery Dr, Santa Rosa, CA 95405-4557 2007-08-28
1114126869 Dominic J Mintalucci Orthopaedic Surgery 1405 Montgomery Dr, Santa Rosa, CA 95405-4557 2007-07-13
1891997227 Jennifer Henshaw-lefever Occupational Therapist 1405 Montgomery Dr, Santa Rosa, CA 95405-4557 2007-06-05
1164637922 Santa Rosa Orthopaedic Medical Group, Inc. Orthopaedic Surgery 1405 Montgomery Dr, Santa Rosa, CA 95405-4557 2007-05-14
1477765931 Robert J Smith Physician Assistant 1405 Montgomery Dr, Santa Rosa, CA 95405-4557 2007-05-04
1588876049 Patricia K Hall Physical Therapist 1405 Montgomery Dr, Santa Rosa, CA 95405-4557 2007-05-04
1821200395 Christopher T Krug Physical Therapist 1405 Montgomery Dr, Santa Rosa, CA 95405-4557 2007-05-04
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1083230486 Lizett Camacho Counselor 145o Neotomas Avenue Suite 200, Santa Rosa, CA 95405 2020-06-22
1346768918 Ingrid Tsong Student in an Organized Health Care Education/Training Program 3447 Summerfield Road, Santa Rosa, CA 95405 2017-09-05
1275051898 Jessica Peters Malmberg Student in an Organized Health Care Education/Training Program 2447 Summerfield Rd, Santa Rosa, CA 95405 2017-09-04
1306246772 Kirsten Eckert Advanced Practice Midwife 500 Doyle Park Dr Suite 103, Santa Rosa, CA 95405 2014-09-03
1982034294 Mohammad Reza Saeidi Dentist 1820 Sonoma Ave Ste 90a, Santa Rosa, CA 95405 2013-11-22
1851631642 Debi M. Emmons Marriage & Family Therapist 2447 Summerfield Dr, Social Advocates for Youth, Santa Rosa, CA 95405 2013-02-15
1841549979 Karie Louise Klim Marriage & Family Therapist 182 Farmers Ln Ste 204, Santa Rosa, CA 95405 2012-09-05
1427314400 Rachel E. Page Counselor 2447 Summerfield Rd., Santa Rosa, CA 95405 2012-04-04
1689991572 Center for Integral Healing Inc. Community Health Worker 182 Farmers Lane, #203, Santa Rosa, CA 95405 2010-04-30
1588997647 Kai Morgan Dentist 1144 Suite 116 Soonoma Ave, Santa Rosa, CA 95405 2009-09-08
Find all providers in zip 95405

Taxonomy Information

Taxonomy Code 207X00000X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery

Taxonomy Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154736882 James H Bauer Orthopaedic Surgery 4700 Woodview Dr, Santa Rosa, CA 95405-8746 2014-06-20
1265550743 Alexander Paul Iezza Orthopaedic Surgery 208 Concourse Blvd Ste 1, Santa Rosa, CA 95403-8210 2007-03-26
1831265073 William Horn Ramsey IIi Orthopaedic Surgery 2200 County Center Dr, Suite E, Santa Rosa, CA 95403-3000 2006-11-28
1538199518 Eric S Schmidt, Md, Inc Orthopaedic Surgery 525 Doyle Park Dr, Suite 101, Santa Rosa, CA 95405-4516 2006-07-04
1538117353 Paul S Treuhaft Orthopaedic Surgery 903 Wildwood Trl, Santa Rosa, CA 95409-4423 2006-05-04
1265416077 Steven Allen Smith Orthopaedic Surgery 121 Sotoyome Street, Santa Rosa, CA 95405-4823 2005-12-05
1043471279 Christian Nabil Athanassious Orthopaedic Surgery 1405 Montgomery Dr, Santa Rosa, CA 95405-4557 2008-06-20
1023205713 Northern California Medical Assoc Orthopaedic Surgery 1111 Sonoma Ave, Ste 202, Santa Rosa, CA 95405-4813 2007-09-27
1720272313 Neema Pourtaheri Orthopaedic Surgery 1405 Montgomery Dr, Santa Rosa, CA 95405-4557 2007-08-28
1114126869 Dominic J Mintalucci Orthopaedic Surgery 1405 Montgomery Dr, Santa Rosa, CA 95405-4557 2007-07-13
Find all providers in SANTA ROSA

Competitor

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City SANTA ROSA
Zip Code 95405

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Dataset Information

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.

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