Individual provider Active NPI

Daria P McDonough

  • Podiatrist
  • Ormond Beach, FL
National Provider Identifier
1447246947
Registry record updated Nov 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
P0978 Issued in FL
Practice address
284 N Halifax Dr
Ormond Beach, FL 32176-5765
Phone
(386) 672-9932
Fax
(386) 672-4201
NPI assigned
Sep 21, 2005
Last updated
Nov 14, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X P0978 FL Primary

Addresses

Primary practice location

284 N Halifax Dr
Ormond Beach, FL 32176-5765

Mailing address

PO Box 4211
Ormond Beach, FL 32175-4211
Phone (386) 672-9932

Other identifiers 2

IdentifierTypeStateIssuer
480014083OtherRAILROAD MEDICARE
340437400MedicaidFL

Medicare participation

Medicare enrollment files
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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080516000226 FL Practitioner - Podiatry 7810066800 Reassigns benefits to 3 organizations
Practice locations: Ormond Beach, FL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
978FLMDAcupuncturist
P0978FLMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Podiatry Associates DPM PA CurrentSince Nov 1, 2017 Accepting new patients
Upperline Healthcare, PC CurrentSince Feb 15, 2021 Accepting new patients
Upperline Healthcare, PC Podiatrist CurrentSince Feb 15, 2021 Accepting new patients
Pascarella, Hoover, Finkelstein, Wagner, DPM, PA CurrentSince Jan 15, 2025 Accepting new patients
Pascarella Hoover Finkelstein & Wagner DPM PA Podiatrist CurrentSince Jan 15, 2025 Accepting new patients

Locations

1890 Lpga Blvd
Ste 230
Daytona Beach, FL 32117
Phone (386) 274-3336

819 E Oak St
Ste B
Kissimmee, FL 34744
Phone (407) 846-1234

7350 Sandlake Commons Blvd
Ste 3329
Orlando, FL 32819
Phone (407) 345-5211

595 W Granada Blvd
Ste F
Ormond Beach, FL 32174
Phone (386) 673-2266

790 Dunlawton Ave
Ste C
Port Orange, FL 32127
Phone (386) 788-6333

102 Woodmont Blvd
Ste 450
Nashville, TN 37205

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415923200000",
    "number": "1447246947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4211",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321754211",
            "telephone_number": "386-672-9932",
            "fax_number": "386-672-4201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "284 N HALIFAX DR",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321765765",
            "telephone_number": "386-672-9932",
            "fax_number": "386-672-4201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONOUGH",
        "first_name": "DARIA",
        "middle_name": "P",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-21",
        "last_updated": "2014-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "P0978",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480014083",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340437400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

Verify at the official NPI Registry.