DR. JAMES DAVID MCDERMOTT (NPI# 1194079467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194079467 |
| Entity Type | Individual |
| Full Name | DR. JAMES DAVID MCDERMOTT |
| Credential | M.D. |
| Practice Address |
1330 Boiling Springs Rd Ste 1540 Spartanburg SC 29303-4224 |
| Mailing Address |
Po Box 743070 Atlanta GA 30374-3070 |
| Practice Telephone | 8645602663 |
| Mailing Telephone | 8645604304 |
| Mailing Fax Number | 8645604413 |
| Enumeration Date | 2012-11-07 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
51382 | SC | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | MEDICARE PN | SCB0177628 | 01 |
| SC | 513821 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1500 Washington St, Apartment 3j, Hoboken, NJ 070306733 | 7196494662 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649523010 | James Mcdermott | Counselor | 743 Columbia Turnpike, East Greenbush, NY 12061 | 2012-10-22 |
| 1265791859 | James Wilson Mcdermott | Counselor | 9040 Harratt St, 35, West Hollywood, CA 90069-3859 | 2012-05-16 |
| 1285741447 | James Joseph Mcdermott | Dentist | 5131 Main St, Ste 101, Santa Fe, NM 87507 | 2006-08-24 |
| 1396759353 | James Harry Mcdermott | Dentist | 904 S 2nd St, Springfield, IL 62704-2702 | 2006-07-27 |
| 1255389185 | James P Mcdermott | Specialist | 602 Route 72 East, Suite 1, Manahawkin, NJ 08050-2899 | 2006-05-04 |
| 1831160126 | James Robert Mcdermott | Chiropractor | 569 Pierce St, Kingston, PA 18704-5731 | 2006-01-27 |
| 1710254545 | James Mcdermott | Speech-Language Pathologist | 1703 N Loop 1604 W, 15208, San Antonio, TX 78258-4677 | 2011-11-22 |
| 1427079953 | James M Mcdermott | Family Medicine | 501 Walnut, Cedar Vale, KS 67024-0578 | 2006-07-21 |
| 1518968023 | James Emmett Mcdermott | Pathology | 1000 Blythe Blvd, Charlotte, NC 28203-5812 | 2005-08-09 |
| Street Address |
1330 BOILING SPRINGS RD STE 1540 |
| City | SPARTANBURG |
| State | SC |
| Zip Code | 29303-4224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437100781 | Stephen M Kana | Orthopaedic Surgery | 1330 Boiling Springs Rd Ste 1540, Spartanburg, SC 29303-4224 | 2006-05-12 |
| 1609386424 | Spartanburg Medical Center | Orthopaedic Surgery | 1330 Boiling Springs Rd Ste 1540, Spartanburg, SC 29303 | 2017-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013532126 | Adam Joseph Fulcher | Family Medicine | Center for Family Medicine, 853 N. Church Street, Suite 510, Spartanburg, SC 29303 | 2020-06-15 |
| 1275011652 | Tri-state Medical Supplies, North Grove | Durable Medical Equipment & Medical Supplies | 1330 Boiling Springs Rd Ste 2900, Spartanburg, SC 29303 | 2018-07-30 |
| 1992227151 | Roxanne Pope | Speech-Language Pathologist | 290 N Grove Medical Park Dr., Spartanburg, SC 29303 | 2017-07-10 |
| 1861934879 | Cortney Redmond Mckinney I | Counselor | 250 Dewey Sve., Spartanburg, SC 29303 | 2016-11-08 |
| 1578011474 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 269 North Grove Medical Drive, Spartanburg, SC 29303 | 2016-09-20 |
| 1023477536 | Whitney Brooke Terry | Physician Assistant | 391 Serpentine Dr Ste 250, Spartanburg, SC 29303 | 2016-02-12 |
| 1306244348 | Medcare Urgent Care Spartanburg, LLC | Clinic/Center | 301 E Wood Street, Spartanburg, SC 29303 | 2014-12-08 |
| 1508201393 | Tom Ju | Anesthesiology | 1330 Boiling Springs Rd Ste 2700, Spartanburg, SC 29303 | 2013-05-07 |
| 1295072312 | Marie O'dell | Registered Nurse | 7 698 Howard Street, Spartanburg School District, Spartanburg, SC 29303 | 2013-01-09 |
| 1518203330 | Sherard Hamilton Ansley | Speech-Language Pathologist | 698 Howard St., Spartanburg School District 7, Spartanburg, SC 29303 | 2012-12-26 |
| Find all providers in zip 29303 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043637481 | Ian Gao | Orthopaedic Surgery | 1330 Boiling Springs Rd Ste 1600, Spartanburg, SC 29303-4219 | 2014-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932369030 | Guillaume David Dumont | Orthopaedic Surgery | 2 Medical Park Road, Suite 104, Columbia, SC 29203-6875 | 2008-06-11 |
| 1922111715 | South Carolina Sports Medicine & Orthopaedic Center | Orthopaedic Surgery | 9100 Medcom Street, N Charleston, SC 29406 | 2006-08-16 |
| 1578570107 | Seth P Kupferman | Orthopaedic Surgery | 9100 Medcom St, N Charleston, SC 29406 | 2006-08-03 |
| 1720096357 | Gary E Windler | Orthopaedic Surgery | 9100 Medicom St, N Charleston, SC 29406 | 2006-08-03 |
| 1013965789 | Southern Orthopaedic Sports Medicne | Orthopaedic Surgery | 1718 Saint Julian Pl, Columbia, SC 29204-2410 | 2006-05-05 |
| 1427011485 | Thomas A. Leong | Orthopaedic Surgery | 2755 S Highway 14 Ste 1200l, Greer, SC 29650-4902 | 2006-04-10 |
| 1770552481 | Bright Mcconnell IIi | Orthopaedic Surgery | 900 Island Park Dr, Suite 105, Daniel Island, SC 29492-7559 | 2006-03-15 |
| 1730162058 | David R Kingery | Orthopaedic Surgery | 811 W Main St Ste 101, Lexington, SC 29072-2500 | 2005-11-21 |
| 1770583817 | Robert Mario Dasilva | Orthopaedic Surgery | 1910 Blanding St, Columbia, SC 29201-3520 | 2005-07-29 |
| 1619575958 | Lexington Health Inc | Orthopaedic Surgery | 146 E Hospital Dr Ste 350, West Columbia, SC 29169-4800 | 2020-10-09 |
| Find all providers with the same taxonomy | ||||
| City | SPARTANBURG |
| Zip Code | 29303 |
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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.