NPIMap

Individual provider Active NPI

Danon Eugenio Garrido Montes de Oca, MD

  • Vascular Surgery Physician
  • Flowood, MS
National Provider Identifier
1245545383
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
25180 Issued in MS
Practice address
4436 Mangum Dr
Flowood, MS 39232-2113
Phone
(601) 586-7070
Fax
(601) 586-7071
NPI assigned
Aug 12, 2010
Last updated
Feb 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 25180 MS Primary

Addresses

Primary practice location

4436 Mangum Dr
Flowood, MS 39232-2113

Mailing address

61 Eastbrooke St
Jackson, MS 39216-4714
Phone (786) 306-0531

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170919003441 MS Practitioner - Vascular Surgery 5193024131 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
University of Mississippi School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wound Management Specialists LLCGroup PAC ID 5193056364, 157 clinicians
Healthcare Plus Limited Liability CompanyGroup PAC ID 5698038610, 120 clinicians
Advanced Vascular and Vein Associates LLCGroup PAC ID 2668863085, 4 clinicians

Practice addresses (Care Compare)

1190 N State St
Jackson, MS 39202-2413
Phone (769) 243-6141

120 Stone Creek Blvd
Suite 300
Flowood, MS 39232-8211
Phone (769) 239-6141

2781 C T Switzer Sr Dr
Suite 100
Biloxi, MS 39531-4535
Phone (769) 243-6141

4436 Mangum Dr
Flowood, MS 39232-2113
Phone (601) 586-7070

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.34 of 100Reported as group
Quality
96.39
Improvement activities
40
Cost
69.99

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)169

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Sep 1, 2017 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Sep 1, 2017 Accepting new patients
Advanced Vascular and Vein Associates, LLC Vascular Surgery CurrentSince Dec 15, 2021 Accepting new patients
St Dominic-Jackson Memorial Hospital Past Accepting new patients
Winston Medical Clinic LLC Past Accepting new patients

Locations

4436 Mangum Dr
Flowood, MS 39232
Phone (601) 586-7070

4436 Mangum Dr
Ste A
Flowood, MS 39232
Phone (601) 932-7363

778 Liberty Rd
Flowood, MS 39232
Phone (601) 326-1794

1225 N State St
Jackson, MS 39202
Phone (601) 292-4261

2500 N State St
Jackson, MS 39216
Phone (601) 815-4775

Interoperability endpoints

  • Direct secure messaging: danon.garrido.p1@direct.avva.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1281571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1245545383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 EASTBROOKE ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164714",
            "telephone_number": "786-306-0531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4436 MANGUM DR",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392322113",
            "telephone_number": "601-586-7070",
            "fax_number": "601-586-7071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRIDO MONTES DE OCA",
        "first_name": "DANON",
        "middle_name": "EUGENIO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-12",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MS",
            "license": "25180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flowood, MS

Sources for this page

Verify at the official NPI Registry.