JESSICA DREGER MCDERMOTT (NPI# 1801030960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801030960 |
| Entity Type | Individual |
| Full Name | JESSICA DREGER MCDERMOTT |
| Credential | M.D. |
| Practice Address |
1055 Clermont St Oncology 111f Denver CO 80220-3808 |
| Mailing Address |
2200 Dahlia St Denver CO 80207-3753 |
| Practice Telephone | 7703655070 |
| Mailing Telephone | 7703655070 |
| Enumeration Date | 2009-04-20 |
| Last Update Date | 2015-11-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
TL0004455NJ | CO | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033659016 | Jessica M Mcdermott | Counselor | 10921 Reed Hartman Hwy Ste 133, Blue Ash, OH 45242-2851 | 2017-02-24 |
| 1841671880 | Jessica L Mcdermott | Nurse Practitioner | 45 Mud Creek Rd, Troy, PA 16947-9529 | 2015-06-16 |
| 1174912000 | Jessica Mcdermott | Pharmacist | 634 N Bardstown Rd, Mt Washington, KY 40047 | 2015-01-15 |
| 1083736144 | Jessica Ellen Mcdermott | Anesthesiology | 22 Bramhall St, Portland, ME 04102-3134 | 2007-04-06 |
| Street Address |
1055 CLERMONT ST ONCOLOGY 111F |
| City | DENVER |
| State | CO |
| Zip Code | 80220-3808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316942188 | Suzanne J Kasim | Pharmacist | 1055 Clermont St, Hbpc, Building 4, Denver, CO 80220-3808 | 2005-06-16 |
| 1447814298 | Mary Klukkert | Nurse Practitioner | 1055 Clermont St, Denver, CO 80220-3808 | 2019-04-26 |
| 1710454970 | Abigail Norouzinia | Psychologist | 1055 Clermont St, Denver, CO 80220-3808 | 2018-10-25 |
| 1003393018 | Erin Kathleen Poindexter | Psychologist | 1055 Clermont St, Denver, CO 80220-3808 | 2018-07-23 |
| 1083106579 | Emilia Worthey | Social Worker | 1055 Clermont St, Denver, CO 80220-3808 | 2018-05-31 |
| 1659862431 | Ankurpreet Singh Gill | Student in an Organized Health Care Education/Training Program | 1055 Clermont St, Denver, CO 80220-3808 | 2018-05-28 |
| 1891284964 | Denver Vamc | Psychiatric Residential Treatment Facility | 1055 Clermont St, Denver, CO 80220 | 2018-05-04 |
| 1578050084 | Jason Alan Kacmarski | Clinical Neuropsychologist | 1055 Clermont St, Denver, CO 80220-3808 | 2018-04-19 |
| 1154828861 | Austin Brown | Podiatrist | 1055 Clermont St, Denver, CO 80220-3808 | 2018-04-09 |
| 1952804221 | Jennifer Lynn Vallejo | Social Worker | 1055 Clermont St, Denver, CO 80220-3808 | 2018-03-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053876748 | Woody Dental Pllc | Dentist | 5989 E Colfax Avenue, Denver, CO 80220 | 2019-02-06 |
| 1366961930 | Maita Angelica Thams | Case Manager/Care Coordinator | 4455 E. 12th Ave, Denver, CO 80220 | 2017-09-14 |
| 1962943837 | Rocky Mountain Therapy Ltd | Clinic/Center | 883 Jersey St, Denver, CO 80220 | 2017-03-13 |
| 1578019188 | Alfredo Guzman | Pharmacist | 1055 Cleremont, Denver, CO 80220 | 2016-09-01 |
| 1265802144 | Joseph Parker Morse | Case Manager/Care Coordinator | 4455 East 12th Avenue, Denver, CO 80220 | 2015-10-05 |
| 1104296789 | Eric Poissant | Physical Therapist | 4700 East Hale Parkway, #550, Denver, CO 80220 | 2015-09-25 |
| 1104292085 | Casey Lucarelli | Student in an Organized Health Care Education/Training Program | 4455 E. 12th Av., Mhcd, Denver, CO 80220 | 2015-08-14 |
| 1124414081 | Domenic Michael Terenzi | Hospitalist | 8001 E 11th Ave Unit 5210, Denver, CO 80220 | 2015-04-07 |
| 1730598566 | Jessica Nichole Heck | Pharmacist | 1055 Clermont Street (119), Denver Va Medical Center- Echcs, Denver, CO 80220 | 2014-08-06 |
| 1063840171 | Kellie Ann Douglas | Nurse Practitioner | 4545 E 9th Ave Ste 260, Denver, CO 80220 | 2013-10-29 |
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| Taxonomy Code | 207RX0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Medical Oncology |
| An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851301881 | Hesky Fisher Luknic Mdspc | Internal Medicine | 2005 Franklin St Ste 170, Denver, CO 80205-5402 | 2006-08-09 |
| 1588290332 | Healthone Clinic Services - Oncology Hematology LLC | Internal Medicine | 1800 N Williams St Ste 300, Denver, CO 80218-1238 | 2020-03-12 |
| 1508491606 | Healthone Clinic Services - Oncology Hematology LLC | Internal Medicine | 1719 E 19th Ave, Denver, CO 80218-1235 | 2020-03-09 |
| 1871952010 | Portercare Adventist Health System | Internal Medicine | 300 S Jackson St, Suite 320, Denver, CO 80209-3176 | 2016-02-16 |
| 1134478365 | Jose Ignacio Mayordomo | Internal Medicine | 777 Bannock St, Denver, CO 80204-4507 | 2012-09-04 |
| 1952604381 | Rao Rashid Mushtaq | Internal Medicine | 1400 Jackson St, Denver, CO 80206-2761 | 2010-12-07 |
| 1689891095 | Susan Mcinnes | Internal Medicine | 1835 Franklin St, Denver, CO 80218-1126 | 2007-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801237276 | John Moore Merrill | Internal Medicine | 40515 County Road 69a, Suite B, Hayden, CO 81639-9504 | 2013-07-12 |
| 1639206659 | Mark W Gillaspie | Internal Medicine | 5122 S Xenophon Ct, Littleton, CO 80127-1529 | 2007-02-27 |
| 1669461281 | Scl Health Front Range, Inc | Internal Medicine | 8300 W 38th Ave, Wheat Ridge, CO 80033-6005 | 2005-10-17 |
| 1073501292 | David Scott Brantley | Internal Medicine | 2312 N Nevada Ave Ste 400, Colorado Springs, CO 80907-5320 | 2005-10-11 |
| 1871592642 | Henry M Heller | Internal Medicine | 1800 E 3rd Ave, Suite 104, Durango, CO 81301-5016 | 2005-07-14 |
| 1700490299 | Scl Health Medical Group - Denver, LLC | Internal Medicine | 3550 Lutheran Pkwy Ste 100a, Wheat Ridge, CO 80033-6013 | 2020-09-02 |
| 1871113159 | Healthone Clinic Services - Oncology Hematology LLC | Internal Medicine | 900 Potomac St, Aurora, CO 80011-6716 | 2020-04-16 |
| 1083249171 | Healthone Clinic Services - Oncology Hematology LLC | Internal Medicine | 10101 Ridgegate Pkwy, Lone Tree, CO 80124-5522 | 2020-03-09 |
| 1639704729 | Healthone Clinic Services - Oncology Hematology LLC | Internal Medicine | 1 Mercado St Ste 100, Durango, CO 81301-7306 | 2020-03-09 |
| 1033744131 | Healthone Clinic Services - Oncology Hematology LLC | Internal Medicine | 3676 Parker Blvd Ste 350, Pueblo, CO 81008-2213 | 2020-03-09 |
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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.