Organization Active NPI

J Morgan Odonoghue P a

  • Dermatology Physician
  • Sarasota, FL
National Provider Identifier
1477742302
Registry record updated Nov 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME80793 Issued in FL
Legal business name
J MORGAN ODONOGHUE P A
Practice address
1952 Field Rd
Sarasota, FL 34231-2316
Phone
(941) 926-7546
Fax
(941) 926-8811
NPI assigned
Oct 16, 2007
Last updated
Nov 13, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2007

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

Authorized official

Name
J Morgan Odonoghue PA
Title
President
Phone
(941) 926-7546

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X ME80793 FL Primary

Addresses

Primary practice location

1952 Field Rd
Sarasota, FL 34231-2316

Mailing address

1952 Field Rd
Sarasota, FL 34231-2316
Phone (941) 926-7546

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071101000076 FL Part B Supplier - Clinic/Group Practice 4789771148 Receives reassigned benefits from 6 practitioners
Practice locations: Sarasota, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D1079299J Morgan Odonoghue PA1952 Field Rd, Sarasota, FL 34231ComplianceJan 31, 2028

National Provider Directory

National Provider Directory

Locations

1952 Field Rd
Sarasota, FL 34231
Phone (941) 926-7546

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194912000000",
    "number": "1477742302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1952 FIELD RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342312316",
            "telephone_number": "941-926-7546",
            "fax_number": "941-926-8811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1952 FIELD RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342312316",
            "telephone_number": "941-926-7546",
            "fax_number": "941-926-8811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J MORGAN ODONOGHUE P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-16",
        "last_updated": "2007-11-13",
        "status": "A",
        "authorized_official_last_name": "ODONOGHUE PA",
        "authorized_official_first_name": "J",
        "authorized_official_middle_name": "MORGAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-926-7546"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME80793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.