TIMOTHY J. MCDERMOTT MD – NPI #1972613487
Internal Medicine

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

Health Care Provider Taxonomy Code for Internal Medicine

TIMOTHY MCDERMOTT is a physician located in PADUCAH, KY. NPPES has assigned the NPI number 1972613487 to TIMOTHY MCDERMOTT on August 30, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RI0011X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Interventional Cardiology

The NPI profile was previously updated about 8 years ago on Oct 01, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for TIMOTHY MCDERMOTT below.

NPI Profile for
TIMOTHY J. MCDERMOTT

NPI Number
1972613487
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
TIMOTHY J. MCDERMOTT
Credentials
MD
Primary location
1532 LONE OAK RD STE 415
PADUCAH, KY 42003
Phone: (270) 442-0103 Fax: (270) 442-0109
1 Other location(s):
1193 Highway Kk
Suite A
Osage Beach, MO 65065
Phone: (573) 302-3950
Fax: (573) 302-3951
Mailing address
2200 JEFFERSON AVE FL 5
TOLEDO, OH 43604-7102
Phone: Fax:
Sole Proprietor
No
Updated
Identifiers

Identifiers for TIMOTHY MCDERMOTT

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERRAILROAD MEDICAREMOP01161167
MEDICAIDAR192825001
MEDICAIDMO1972613487
MEDICAIDMO202840617
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RI0011X
- Internal Medicine / Interventional Cardiology (Primary)		 ND LT15153
207RC0000X
- Internal Medicine / Cardiovascular Disease		 AR E7468

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE - Graduated 1984
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
TIMOTHY MCDERMOTT is affiliated with the following medical group(s):
  • HOSPITAL
    • BAPTIST HEALTH PADUCAH
      2501 KENTUCKY AVENUE
      PADUCAH, KY 42003
    • LOURDES HOSPITAL
      1530 LONE OAK ROAD
      PADUCAH, KY 42003
    • MARSHALL COUNTY HOSPITAL
      615 OLD SYMSONIA ROAD
      BENTON, KY 42025
    • MURRAY-CALLOWAY COUNTY HOSPITAL
      803 POPLAR STREET
      MURRAY, KY 42071
    • TRIGG COUNTY HOSPITAL
      254 MAIN STREET
      CADIZ, KY 42211

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