Martha Rose McDonough, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS0007968 Issued in FL

Practice address

464016 State Road 200
Yulee, FL 32097-6339

Phone

(904) 261-3913

NPI assigned

Feb 1, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

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

• Solantic LLC

  • Urgent Care Clinic/Center
  • Jacksonville, FL
  • NPI 1609822592
  NPD (past)
• University of Florida Jacksonville Physicians, Inc.

  • Family Medicine Physician
  • Yulee, FL
  • NPI 1518126168
  NPD (past)

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190332800000",
    "number": "1366413759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86479 MEADOWFIELD BLUFFS RD",
            "city": "YULEE",
            "state": "FL",
            "postal_code": "320978410",
            "telephone_number": "904-225-1980",
            "fax_number": "904-225-1981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "464016 STATE ROAD 200",
            "city": "YULEE",
            "state": "FL",
            "postal_code": "320976339",
            "telephone_number": "904-261-3913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONOUGH",
        "first_name": "MARTHA",
        "middle_name": "ROSE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-01",
        "last_updated": "2007-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS0007968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlitta Martin, RBT
• Tyler Mattingly, DO
• Carrie Anderson Mays
• Devin Gregory McClure, RMHI
• Joni Melinda McDairmant, B.S., RBT
• Andrea McElreath
• Shannon Kelly McFauls, LMHC
• William Aloyisus McLaughlin, M.D.
• Lesley A. McPeak, M.D.
• McPherson Counseling Services, Inc

• Family Medicine Physician in Yulee, FL
• Providers in Yulee, 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 Sep 21, 2007; 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.