Edmund William McGrath Jr., M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

ME50062 Issued in FL

Practice address

1411 S 14TH St Ste D
Fernandina Beach, FL 32034-3092

Phone

(904) 321-0064

Fax

(904) 491-3113

NPI assigned

Apr 5, 2006

Last updated

Feb 25, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Women's Care Florida LLC

  • Obstetrics & Gynecology Physician
  • Tampa, FL
  • NPI 1013902923
  Medicare reassignment NPD
• Womens' Health Hospitalists, LLC

  • Obstetrics & Gynecology Physician
  • Tampa, FL
  • NPI 1205295599
  Medicare reassignment NPD

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551052800000",
    "number": "1376505313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25317",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336225317",
            "telephone_number": "813-286-0033",
            "fax_number": "813-282-1806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 S 14TH ST STE D",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320343092",
            "telephone_number": "904-321-0064",
            "fax_number": "904-491-3113"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "850966 US Highway 17",
            "address_purpose": "LOCATION",
            "city": "Yulee",
            "state": "FL",
            "postal_code": "320972848",
            "country_code": "US",
            "telephone_number": "904-321-2229",
            "fax_number": "904-491-3113",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11513 N Main St",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322184002",
            "country_code": "US",
            "telephone_number": "904-714-1107",
            "fax_number": "904-396-2464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCGRATH",
        "first_name": "EDMUND",
        "middle_name": "WILLIAM",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2019-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME50062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036485100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Denise Sharon McClure-Drabick, CRNA, ARNP,BA ,RN
• Walter Cleo McCreary, LCSW
• Beth Madison McCullen, LMHC
• Henrietta Catherine McGowan, LMHC,LPC, CAP, NCC
• Ann Christensen McGrath, APRN, CNM
• Antonia McIntyre
• Caroline Gray McKee
• Rebecca Claire McKinney
• Amy Frances McMahan, D.D.S.
• Holly Jane McWhorter, PT

• Obstetrics & Gynecology Physician in Fernandina Beach, FL
• Providers in Fernandina Beach, FL by specialty
• Obstetrics & Gynecology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.