Mcdermott, Timothy J

Mcdermott, Timothy J is an individual health care provider with primary practice located at 1532 Lone Oak Rd Ste 415 , Paducah KY 42003. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Mcdermott, Timothy J can be contacted via phone (270) 442-0103.

Contact Information

Primary practice address
1532 Lone Oak Rd Ste 415 Paducah KY 42003
Phone: (270) 442-0103
Fax: (270) 442-0109
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X E7468 Arkansas
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X R3N07 Missouri
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X LT15153 North Dakota
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 51912 Kentucky

Profile Details

NPI number 1972613487
LBN Legal business name Mcdermott, Timothy J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Oct 1st, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972613487 NPPES
Arkansas MEDICAID 192825001
Arkansas MEDICAID 1972613487
Arkansas MEDICAID 202840617
Arkansas Other P01161167

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