MARTIN MCDERMOTT MD PC
NPI 1205928264
Family Medicine in Fort Lupton, CO

Q: What is Martin Mcdermott MD PC's NPI number?

The NPI number for Martin Mcdermott MD PC is 1205928264. It was assigned to this organization in the NPPES registry on September 28, 2006.

Q: What is Martin Mcdermott MD PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since September 28, 2006CLIA 06D0516535 · Waiver

327 PARK AVE, FORT LUPTON, CO 80621(303) 857-2711(303) 857-1408 Get Directions Write a Review

NPPES record last updated: February 11, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Martin Mcdermott Md Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARTIN MCDERMOTT MD PC (NPI 1205928264) is a healthcare organization registered as a family medicine in Fort Lupton, Colorado and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through March 3, 2028 and lists Martin Daniel Mcdermott, Owner, as its authorized official.

NPPES Registry Identity

NPI1205928264

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameMARTIN MCDERMOTT MD PC

Location Address327 PARK AVEFort Lupton, CO 80621-1929

Mailing Address327 Park AveFort Lupton, CO 80621-1929 · (303) 857-2711 · Fax (303) 857-1408

Phone(303) 857-2711

Fax(303) 857-1408

Organization SubpartNo

Authorized OfficialMartin Daniel McdermottOwner · (303) 857-2711

Enumeration DateSeptember 28, 2006

Last NPPES UpdateFebruary 11, 2008

✔ NPI 1205928264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

327 PARK AVE, Fort Lupton, CO 80621

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Other Identifiers 3

Medicaid76628205CO

Medicare NSC0979420001CO

Medicare PINC422008CO

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 06D0516535

Martin Mcdermott MD PC · Fort Lupton, CO

Active · expires Mar 3, 2028

CLIA Number06D0516535

Laboratory TypePhysician Office

Certificate Effective DateMarch 4, 2026

Certificate Expiration DateMarch 3, 2028

Laboratory DirectorDr. Martin D. Mcdermott

Laboratory Phone(303) 857-2711

Laboratory LocationMartin Mcdermott MD PC327 N Park Ave, Fort Lupton, CO 80621

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AISLING ALETTA RYAN-ABBOTT FNP-C

Nurse Practitioner (Family)