MR. MICHAEL KENT MCDERMID (NPI# 1912363755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912363755 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL KENT MCDERMID |
| Credential | AG-ACNP-BC |
| Practice Address |
11750 W 2nd Pl Medical Plaza 1 Suite 255 Lakewood CO 80228-1575 |
| Mailing Address |
Po Box 17906 Boulder CO 80308-0906 |
| Practice Telephone | 7203218040 |
| Practice Fax Number | 7203218041 |
| Mailing Telephone | 3039174739 |
| Enumeration Date | 2016-01-09 |
| Last Update Date | 2019-06-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
APN.0992159-NP | CO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
11750 W 2ND PL MEDICAL PLAZA 1 SUITE 255 |
| City | LAKEWOOD |
| State | CO |
| Zip Code | 80228-1575 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386647543 | Colorado Professional Medical, Inc | Prosthetic/Orthotic Supplier | 11750 W 2nd Pl, St. Anthony Medical Plaza, Lakewood, CO 80228-1575 | 2005-05-23 |
| 1457718108 | Philip R. Yarnell, M.d., P.C. | Specialist | 11750 W 2nd Pl, Medical Plaza I Suite 255, Lakewood, CO 80228-1575 | 2016-01-26 |
| 1164828026 | Catholic Health Initiatives Colorado | Internal Medicine | 11750 W 2nd Pl, Suite 365, Lakewood, CO 80228-1575 | 2014-11-05 |
| 1760806038 | Catholic Health Initiatives Colorado | Neurological Surgery | 11750 W 2nd Pl, Medical Plaza 1, Ste. 255, Lakewood, CO 80228-1575 | 2014-02-07 |
| 1578852042 | Laura Jeanne Friedlander | Psychiatry & Neurology | 11750 W 2nd Pl, Ste 255, Lakewood, CO 80228-1575 | 2011-04-05 |
| 1235462813 | Leon Stor | Physician Assistant | 11750 W 2nd Pl, Suite 255, Lakewood, CO 80228-1575 | 2009-09-14 |
| 1376772624 | Allison Beauneir | Internal Medicine | 11750 W 2nd Pl, Suite 365, Lakewood, CO 80228-1575 | 2009-07-08 |
| 1588891782 | Star Viviette Fowler | Internal Medicine | 11750 W 2nd Pl, Suite 365, Lakewood, CO 80228-1575 | 2009-06-15 |
| 1982869251 | Wesley D. Reynolds | Psychiatry & Neurology | 11750 W 2nd Pl, Ste 255, Lakewood, CO 80228-1575 | 2008-07-25 |
| 1881856342 | Mark M. Murray | Psychiatry & Neurology | 11750 W 2nd Pl, Ste 255, Lakewood, CO 80228-1575 | 2008-06-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174083570 | Lindsey Mae Beverly | Physician Assistant | Medical Plaza 2, 11700 W 2nd Pl, #350, Lakewood, CO 80228 | 2019-03-21 |
| 1881119931 | Cory J Frazier | Nurse Practitioner | 11600 W. 2nd Pl, Lakewood, CO 80228 | 2017-08-10 |
| 1508213885 | Chelsea Tucker | Counselor | 12157 W Cedar Dr Ste 207, Lakewood, CO 80228 | 2016-05-17 |
| 1972963841 | Shastin Gerbracht | Counselor | 12055 W 2nd Pl, Ste 200, Lakewood, CO 80228 | 2016-03-04 |
| 1073983375 | Suzanne Phillips | Behavioral Analyst | 200 Union Blvd. Ste. 200, Lakewood, Co. 80228, Denver, CO 80228 | 2015-09-29 |
| 1700265667 | April Mearsha | Doula | 12977 W Cedar Dr, 2-305, Lakewood, CO 80228 | 2015-05-26 |
| 1306233713 | Caleb Hedberg | Internal Medicine | 165 S Union Blvd Ste 800, Lakewood, CO 80228 | 2015-04-23 |
| 1972996288 | David Lindsey Currie | Counselor | 12055 W 2nd Place, Jefferson Ctr for Mental Health, Lakewood, CO 80228 | 2015-03-11 |
| 1619365533 | Michelle Broberg II | Technician | 12055 West 2nd Plaza, Lakewood, CO 80228 | 2014-12-30 |
| 1750789012 | Kayla Morrison | Social Worker | 12005 W 2nd Place, Lakewood, CO 80228 | 2014-12-18 |
| Find all providers in zip 80228 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154932481 | Leah Evans | Nurse Practitioner | 310 S Miller St, Lakewood, CO 80226-2659 | 2020-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992176 | Misty Thomas | Nurse Practitioner | 50059 County Road 15, Wellington, CO 80549-1761 | 2020-11-03 |
| 1831799477 | Christopher Todd Hassinger | Nurse Practitioner | 3237 Osceola St, Denver, CO 80212-1741 | 2020-10-30 |
| 1225640113 | Melissa Diane Garth | Nurse Practitioner | 11912 Eudora Dr, Thornton, CO 80233-6406 | 2020-08-20 |
| 1568074672 | Arthur E Ilharreguy | Nurse Practitioner | 5565 Royal Pine St, Brighton, CO 80601-5370 | 2020-08-19 |
| 1982214136 | John Middleton Lariviere | Nurse Practitioner | 1375 Trenton St, Denver, CO 80220-3330 | 2020-08-03 |
| 1730797127 | Anne Elizabeth Kintop | Nurse Practitioner | 723 Steele St, Denver, CO 80206-3942 | 2020-07-21 |
| 1568070571 | Harrison Charles Lowell | Nurse Practitioner | 7756 S Flanders St, Centennial, CO 80016-1948 | 2020-07-15 |
| 1942824537 | Kimberly A Jones | Nurse Practitioner | 3210 N Franklin St, Denver, CO 80205-3903 | 2020-05-30 |
| 1346862893 | Camella Gullick | Nurse Practitioner | 590 Grey Squirrel Way, Franktown, CO 80116-8762 | 2020-05-07 |
| 1114556297 | Abigail Patricia Doherty | Nurse Practitioner | 3201 Shoshone St Unit 204, Denver, CO 80211-3487 | 2020-04-02 |
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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.