MCDONOUGH PODIATRY PA (NPI# 1780867747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780867747 |
| Entity Type | Organization |
| Organization Name | MCDONOUGH PODIATRY PA |
| Practice Address |
595 W Granada Blvd Suite F Ormond Beach FL 32174-5190 |
| Practice Telephone | 3866732266 |
| Practice Fax Number | 3866762772 |
| Mailing Telephone | 3866732266 |
| Mailing Fax Number | 3866762772 |
| Enumeration Date | 2007-12-13 |
| Last Update Date | 2010-09-15 |
| Authorized Official Name | MICHAEL W MCDONOUGH (PRESIDENT) |
| Authorized Official Telephone | 3866732266 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | P0979 | FL | Podiatric Medicine & Surgery Service Providers |
| Street Address |
595 W GRANADA BLVD SUITE F |
| City | ORMOND BEACH |
| State | FL |
| Zip Code | 32174-5190 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982609277 | Debra Brandt | Counselor | 595 W Granada Blvd, Ste H, Ormond Beach, FL 32174-5182 | 2005-06-14 |
| 1770666703 | Lori Christiansen | Counselor | 595 W Granada Blvd, Suite H, Ormond Beach, FL 32174-5190 | 2006-10-23 |
| 1457433468 | Argene K Danielides | Counselor | 595 W Granada Blvd, Suite H, Ormond Beach, FL 32174-5190 | 2006-10-19 |
| 1679580195 | Louis J Raimondo | Psychiatry & Neurology | 595 W Granada Blvd, Suite 2e, Ormond Beach, FL 32174-5190 | 2006-08-01 |
| 1003821497 | Yorkshire Mental Health Enterprises Pa | Social Worker | 595 W Granada Blvd, Suite 2e, Ormond Beach, FL 32174-5190 | 2006-07-31 |
| 1730102187 | Donna Lee Rethemeyer | Social Worker | 595 W Granada Blvd, Suite 2e, Ormond Beach, FL 32174-5190 | 2006-07-26 |
| 1467406363 | Norman E Hoffman | Counselor | 595 W Granada Blvd, Suite H, Ormond Beach, FL 32174-5190 | 2006-05-22 |
| 1851343594 | Valerie Hoffman | Counselor | 595 W Granada Blvd, Suite H, Ormond Beach, FL 32174-5190 | 2006-05-17 |
| 1043206535 | Michael W Mcdonough | Podiatrist | 595 W Granada Blvd, Siute F, Ormond Beach, FL 32174-5190 | 2005-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215574991 | Case Vision Pa | Optometrist | Eye Savers, 1474 W. Granada Blvd. #470, Ormond Beach, FL 32174 | 2019-12-02 |
| 1235797143 | Galia Leilani Medrano Ramirez | Dentist | 1274 W. Granada Blvd, Ormond Beach, FL 32174 | 2019-06-05 |
| 1295299220 | Jessica Johnson Hills | Nurse Practitioner | 1400 Hand Ave Ste K, Ormond Beach, FL 32174 | 2019-01-23 |
| 1437507043 | Natasha Jairam | Family Medicine | Adventhealth Medical Group Family Medicine, 400 Clyde Morris Blvd Ste A, Ormond Beach, FL 32174 | 2016-05-25 |
| 1871956540 | Lisa Anne Parissi | Chiropractor | 157 Kimberly Drive, Ormond Beach, FL 32174 | 2016-03-31 |
| 1023477940 | Ambassador Health Services, Inc | In Home Supportive Care | 136 N Orchard St Ste 1, Ormond Beach, FL 32174 | 2016-02-19 |
| 1619341518 | Maria Rogers | Optometrist | 9 Abacus Ave, Ormond Beach, FL 32174 | 2015-11-16 |
| 1285003830 | Sydney Kalin Neuhardt | Nurse Practitioner | 725 W. Granada Blvd. Ste 1, Ormond Beach, FL 32174 | 2015-09-24 |
| 1194107821 | Jerusha Thacker | Case Manager/Care Coordinator | 259 Bill France Blvd. Ste 200, Daytona Beach, FL 32174 | 2015-06-18 |
| 1730569971 | Daniel Joseph Lapolla | Physical Therapy Assistant | 1275 Granada Blvd, Suite 4b2, Ormond Beach, FL 32174 | 2015-06-03 |
| Find all providers in zip 32174 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831124106 | Philip Jay Shapiro | Podiatrist | 140 Old Mill Run, Ormond Beach, FL 32174-6159 | 2006-07-12 |
| 1447246947 | Daria P Mcdonough | Podiatrist | 284 N Halifax Dr, Ormond Beach, FL 32176-5765 | 2005-09-21 |
| 1962808139 | Daria P. Mcdonough, Dpm | Podiatrist | 284 N Halifax Dr, Ormond Beach, FL 32176-5765 | 2014-11-14 |
| 1043206535 | Michael W Mcdonough | Podiatrist | 595 W Granada Blvd, Siute F, Ormond Beach, FL 32174-5190 | 2005-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295079 | Pardee Foot Clinic | Podiatrist | 1808 W International Speedway Blvd Ste 304a, Daytona Beach, FL 32114-1227 | 2020-11-04 |
| 1699393546 | Michael C. Flatley, Dpm, Pa | Podiatrist | 674 Barrington Cir, Winter Springs, FL 32708-6115 | 2020-07-08 |
| 1649895822 | Fred E Gatiher II Dpm | Podiatrist | 2 Miracle Strip Loop Ste 3, Panama City Beach, FL 32407-8412 | 2020-06-12 |
| 1780204602 | Pinnacle Foot and Ankle Centers, LLC | Podiatrist | 1801 Se Hillmoor Dr Ste A-103, Port St Lucie, FL 34952-7545 | 2020-04-21 |
| 1265081632 | Family Podiatry of Central Florida Pa | Podiatrist | 450 W Central Pkwy Fl 2, Altamonte Springs, FL 32714-2436 | 2019-09-09 |
| 1184270183 | Stephen F Levin Dpm Pa | Podiatrist | 4202 W Waters Ave Ste 6, Tampa, FL 33614-1972 | 2019-08-15 |
| 1861045155 | Olupona Foot and Ankle, LLC | Podiatrist | 1600 Nw 17th Ave, Miami, FL 33125-2327 | 2019-07-17 |
| 1356993398 | Gary Barbosa | Podiatrist | 3182 Edgemoore Drive, Palm Harbor, FL 34685 | 2019-07-10 |
| 1982262358 | Foot and Ankle Network | Podiatrist | 8323 Nw 12th St Ste 204, Doral, FL 33126-1840 | 2019-05-31 |
| 1750845491 | Gentle Touch Podiatric Care Pa | Podiatrist | 100 Golden Isles Dr Apt 610, Hallandale Beach, FL 33009-5824 | 2019-01-28 |
| Find all providers with the same taxonomy | ||||
| City | ORMOND BEACH |
| Zip Code | 32174 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.