Active NPIIndividual provider

Jordan E Dermody

Physician Assistant in Worcester, Massachusetts

NPI Number1407685928
Practice location
10 Lincoln Sq, Worcester, MA 01608-1135
Fax
—
Last updated
August 1, 2024

Jordan Elizabeth Dermody is a Physician Assistant based in Worcester, MA. Jordan Elizabeth Dermody practices in Worcester, MA. The NPI Number for Jordan Elizabeth Dermody is 1407685928. The current practice location address for Jordan Elizabeth Dermody is 10 Lincoln Sq, Worcester, MA 01608-1135 and can be reached out via phone at 413-207-4043.

Provider Profile Details

NPI Number
1407685928
Provider Name
Jordan Elizabeth Dermody
Provider Entity Type
Individual
Gender
Female
Address
10 Lincoln Sq, Worcester, MA 01608-1135
Phone Number
413-207-4043
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
August 1, 2024
Last Update Date
August 1, 2024
Certification Date
August 1, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
10 Lincoln Sq
Worcester, MA 01608-1135
Zip
01608-1135
Phone Number
413-207-4043
Worcester, MA 01608Get directions →

Provider Business Mailing Address Details

Address
15 Bayberry Dr
Easthampton, MA 01027-2735
City
Easthampton
State
MA
Zip
01027-2735
Phone Number
413-207-4043

License Information

Taxonomy
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jordan E Dermody?

The NPI number of Jordan E Dermody is 1407685928. It was assigned on August 1, 2024 and is currently active in the NPPES registry.

What is the specialty of Jordan E Dermody?

Jordan E Dermody is registered under the primary taxonomy Physician Assistant (code 363A00000X).

Where does Jordan E Dermody practice?

The practice location is 10 Lincoln Sq, Worcester, MA 01608-1135. The office can be reached at 413-207-4043 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1407685928 directly on the NPPES registry website.

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