DR. RONALD IAN MCDERMOTT (NPI# 1790899508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790899508 |
| Entity Type | Individual |
| Full Name | DR. RONALD IAN MCDERMOTT |
| Credential | MD |
| Practice Address |
824 Wren Rd Goodlettsville TN 37072-2312 |
| Practice Telephone | 6158518959 |
| Practice Fax Number | 6158515949 |
| Mailing Telephone | 6158518959 |
| Mailing Fax Number | 6158515949 |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2008-11-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD28589 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AETNA | 7197644 | 01 | |
| HEALTHSPRING | G58444 | 01 | |
| TRICARE | SSN | 01 | |
| TN | 3818316 | 05 | |
| UNITED HEALTHCARE | 205724681 | 01 | |
| BCBS | 4152576 | 01 | |
| MEDICARE GROUP PRICING NO | 3736131 | 01 | |
| CIGNA | 9842836002 | 01 | |
| AMERIGROUP | 01035857 | 01 | |
| AMERICHOICE | TN0101 | 01 |
| Street Address |
824 WREN RD |
| City | GOODLETTSVILLE |
| State | TN |
| Zip Code | 37072-2312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285795278 | Healing Place Family Medicine | Clinic/Center | 824 Wren Rd, Goodlettsville, TN 37072-2312 | 2006-12-13 |
| 1104987262 | Diane Simone Mcdermott | Family Medicine | 824 Wren Rd, Goodlettsville, TN 37072-2312 | 2006-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336651140 | Listen Hear LLC | Hearing Aid Equipment | 758 Rivergate Pkwy, Goodlettsville, TN 37072 | 2017-11-02 |
| 1023551140 | Joshua Shallcross | Physical Therapy Assistant | 2182 Gallatin Pike North, Goodlettsville, TN 37072 | 2016-11-21 |
| 1578858924 | Joy R Grimes | Nurse Practitioner | 913 Conference Dr Ste 103, Goodlettsville, TN 37072 | 2011-06-14 |
| 1558552620 | Integrative Health Community | Specialist | 400 Professional Park Dr., Suite 201, Goodlettsville, TN 37072 | 2007-08-05 |
| 1669662573 | Lisa Kathryn Spencer | Physical Therapist | 813 South Dickerson Road, Goodletsville, TN 37072 | 2007-07-26 |
| 1760684799 | Counseling Services of Middle Tn, LLC | Social Worker | 420 North Main St, Goodlettsville, TN 37072 | 2007-06-01 |
| 1881818649 | Alejandrina M. Goldberg | Registered Nurse | 1242 Twelve Stones Crossing, Goodlettsville, TN 37072 | 2007-04-12 |
| 1811012792 | Hal T Farmer | Chiropractor | 511 Rivergate Pkwy, Goodlettsville, TN 37072 | 2007-03-20 |
| 1417009440 | Michael A Rhodes Sr. | Family Medicine | 105. B. Memorial Dr., Suite B, Goodlettsville, TN 37072 | 2007-01-18 |
| 1417017039 | Gwendolyn Carney | Occupational Therapist | 813 S. Dickerson Rd, Goodlettsville, TN 37072 | 2006-12-12 |
| Find all providers in zip 37072 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336414804 | Phoenix Comprehensive Health Care Services,llc | Family Medicine | 515 Rivergate Pkwy Ste 102, Goodlettsville, TN 37072-2025 | 2012-03-17 |
| 1417009440 | Michael A Rhodes Sr. | Family Medicine | 105. B. Memorial Dr., Suite B, Goodlettsville, TN 37072 | 2007-01-18 |
| 1003830332 | Robert T Lim Jr. | Family Medicine | 900 Conference Dr Ste 8, Goodlettsville, TN 37072-1925 | 2006-07-27 |
| 1699737056 | Donald A Spisak | Family Medicine | 401 Windsor Green Ct Ste 101, Goodlettsville, TN 37072-2237 | 2006-04-03 |
| 1801866199 | John E Baites Jr. | Family Medicine | 740 Conference Dr, Goodlettsville, TN 37072-1915 | 2006-01-26 |
| 1740276534 | Benita L Phillips | Family Medicine | 501 Long Hollow Pike Ste A, Goodlettsville, TN 37072-3448 | 2005-09-27 |
| 1295241768 | Emily Hansford | Family Medicine | 450 Professional Park Dr, Goodlettsville, TN 37072-2180 | 2017-12-20 |
| 1578829594 | Megan Alison Settle | Family Medicine | 401 Windsor Green Ct Ste 101, Goodlettsville, TN 37072-2237 | 2012-04-03 |
| 1093928707 | Long Hollow Family Practice | Family Medicine | 740 Conference Dr, Goodlettsville, TN 37072-1915 | 2007-05-08 |
| 1386707446 | Robert D Pilkinton | Family Medicine | 401 Windsor Green Ct Ste 101, Goodlettsville, TN 37072-2237 | 2006-12-19 |
| Find all providers in GOODLETTSVILLE | ||||
| City | GOODLETTSVILLE |
| Zip Code | 37072 |
Please comment or provide details below to improve the information on DR. RONALD IAN 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.