MATHEW MCDERMOTT (NPI# 1407210180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407210180 |
| Entity Type | Individual |
| Full Name | MATHEW MCDERMOTT |
| Credential | ATC |
| Practice Address |
500 E Chaco St Aztec NM 87410-2170 |
| Mailing Address |
402 Ute Ave Aztec NM 87410-2232 |
| Practice Telephone | 5053349414 |
| Mailing Telephone | 5057930028 |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2016-04-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
606 | NM | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
500 E CHACO ST |
| City | AZTEC |
| State | NM |
| Zip Code | 87410-2170 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386192755 | Diane Kresl | Registered Nurse | 500 E Chaco St, Aztec, NM 87410-2170 | 2016-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467095448 | Kendill May Jones | Technician | 403 Andrew D, Aztec, NM 87410 | 2019-10-23 |
| 1831346469 | Suzette Lorraine Gordon | Psychologist | 1607 W. Aztec Blvd., Aztec Municipal Schools, Aztec, NM 87410 | 2008-08-26 |
| 1730392101 | Jack Fields Sona II | Pharmacist | Jack Sona, Rph, 100 Llano St, Aztec, NM 87410 | 2007-05-08 |
| 1093888380 | Bryan Standley Poe | Family Medicine | 406 S Park Ave, Aztec, NM 87410 | 2006-11-16 |
| 1467531921 | Katherine Andersen | Acupuncturist | 606 South Rio Grande Ave., Suite B, Aztec, NM 87410 | 2006-11-03 |
| 1861467433 | San Juan Regional Medical Center Inc | Internal Medicine | 120 Llano St, Aztec, NM 87410 | 2006-02-17 |
| 1649262502 | Kare Inc | Pharmacy | 100 Llano St., Aztec, NM 87410 | 2005-08-17 |
| 1871023044 | Rebekah Leann French | Nurse Practitioner | 120 Llano St, Aztec, NM 87410 | 2017-06-19 |
| 1316486855 | Sarah Anne Thomason | Registered Nurse | 1118 W Aztec Blvd, Aztec, NM 87410 | 2017-02-16 |
| 1629257092 | Karen L Vogel | Speech-Language Pathologist | 455 N Light Plant Rd, Aztec, NM 87410-1517 | 2007-11-01 |
| Find all providers in zip 87410 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093312779 | Gabrielle Julia Atencio | Specialist/Technologist | 53 Road 3312, Aztec, NM 87410-9516 | 2020-10-05 |
| 1295139558 | Aaron Stem | Specialist/Technologist | 320 S Church Ave, Aztec, NM 87410-2107 | 2014-10-15 |
| 1982008256 | Jessica Lyn Stem | Specialist/Technologist | 320 S Church Ave, Aztec, NM 87410-2107 | 2014-10-15 |
| 1750457834 | Roger Ronald Collins | Specialist/Technologist | 604 S Rio Grande Ave, Aztec, NM 87410-2260 | 2006-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447867403 | Hayley Lucero | Specialist/Technologist | 2300 Diamond Mesa Trl Sw Apt 9702, Albuquerque, NM 87121-3723 | 2020-09-24 |
| 1770197709 | Tracy Murtha | Specialist/Technologist | 29 Teddy Bear Lane, Eagle Nest, NM 87718 | 2020-09-08 |
| 1881228815 | Richard Webster | Specialist/Technologist | 1315 Casady Dr, Alamogordo, NM 88310-5346 | 2020-02-28 |
| 1518504885 | Douglas Richard Spence | Specialist/Technologist | 2920 Leopoldo Rd Nw, Albuquerque, NM 87104-2728 | 2019-12-05 |
| 1265081285 | James Eagle | Specialist/Technologist | 21 Cougar Rdg, Santa Fe, NM 87505-8196 | 2019-09-11 |
| 1770136459 | Yangmi Kang | Specialist/Technologist | 825 S Telshor Blvd Apt 59, Las Cruces, NM 88011-4645 | 2019-07-22 |
| 1477105922 | Haden Gregory Maloney | Specialist/Technologist | 8 Riverview Cir, Roswell, NM 88201-9197 | 2019-07-15 |
| 1972155349 | Daisuke Shibata | Specialist/Technologist | 1 University of New Mexico # 42610, Albuquerque, NM 87131-0001 | 2019-07-15 |
| 1467917997 | Austin Frazier | Specialist/Technologist | 1181 Mall Dr Ste C, Las Cruces, NM 88011-8105 | 2019-02-08 |
| 1922562685 | Keliana De Neef | Specialist/Technologist | 1155 University Blvd Se, Albuquerque, NM 87106-4320 | 2019-01-28 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MATHEW MCDERMOTT.
| 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.