James E McDonnell MD PLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME0058254 Issued in FL

Legal business name

JAMES E MCDONNELL MD PLC

Practice address

305 Clyde Morris Blvd
Suite 130
Ormond Beach, FL 32174-8181

Phone

(386) 677-6727

Fax

(386) 677-3211

NPI assigned

Sep 12, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

James Edward McDonnell, M.D.

Title

Owner/Physician/President

Phone

(386) 677-6727

Specialties & licenses 1

Addresses

Other identifiers 2

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013011584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 CLYDE MORRIS BLVD",
            "address_2": "SUITE 130",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748181",
            "telephone_number": "386-677-6727",
            "fax_number": "386-677-3211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 CLYDE MORRIS BLVD",
            "address_2": "SUITE 130",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748181",
            "telephone_number": "386-677-6727",
            "fax_number": "386-677-3211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES E MCDONNELL MD PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCDONNELL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN/PRESIDENT",
        "authorized_official_telephone_number": "386-677-6727",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0058254",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DE7297",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "14223",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kian Fay Jacobs, LCSW
• Erika Leigh Jacumin, PA
• Jaideep Hoskote MD PA
• Christopher Colon Jaime, DPT,PT
• Natasha Jairam, MD
• James, M. Cullers, D.C.
• Enxhi Jankulla
• Wilfredo Wong Jaropillo Jr., ARNP
• Ashwini Jasutkar
• Javier Farach MD, PA

• Family Medicine Physician in Ormond Beach, FL
• Providers in Ormond Beach, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.