NPI Portal NPI Lookup & Verification

John David Mcdermott, P.A.

John David Mcdermott is a Physician Assistant provider (Physician Assistant) practicing in Eagle, ID, registered in the NPPES registry with NPI 1689627069 since 2006. The credential PA stands for Physician Assistant.

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NPI 1689627069
Entity type Individual (Type 1)
Name John David Mcdermott
Credential P.A.
Sex Male
Practice address 3101 E STATE ST, SUITE 2120, Eagle, ID, 83616
Phone 2084733275
Enumeration date 2006-05-18
Last updated in NPPES 2012-09-04

Taxonomy & licenses

Taxonomy code Specialty Primary License State
363A00000X Physician Assistant Primary PRA103 ID

PA — Physician Assistant: A licensed clinician who practices medicine in collaboration with physicians, trained in a graduate PA program. About the PA credential

Copy-ready billing details
Provider: John Mcdermott, P.A.
NPI: 1689627069
Taxonomy: 363A00000X (Physician Assistant)
Address: 3101 E STATE ST, SUITE 2120, Eagle, ID, 83616

Other providers at this practice address

NPI Name Type Specialty Location
1194773598 Kimberly Tanabe Individual Internal Medicine Physician Eagle, ID
1437198884 Susanne Stickler Individual Internal Medicine Physician Eagle, ID
1801057708 Mary Huntington Individual Internal Medicine Physician Eagle, ID
1396970612 Coleen Hulbert Individual Family Medicine Physician Eagle, ID
1447487186 Kristina Coffey Individual Physician Assistant Eagle, ID
1457606832 Jessica Clark Individual Audiologist Eagle, ID
1083147128 Benjamin Satterfield Individual Cardiovascular Disease Physician Eagle, ID
1154948164 Sean Lawson Individual Physician Assistant Eagle, ID

Verify this record

Cross-check NPI 1689627069 against the authoritative CMS record: view John David Mcdermott on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Where does John Mcdermott practice?
The practice location on file with NPPES is in Eagle, ID. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for John Mcdermott?
The National Provider Identifier (NPI) for John Mcdermott is 1689627069, a Type 1 (individual) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2012-09-04.