Eugene M Dagon, MD

Primary specialty

Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X

License

ME45201 Issued in FL

Practice address

14906 Winding Creek CT
Suite 102-D
Tampa, FL 33613-1627

Phone

(813) 963-7498

Fax

(813) 977-4964

NPI assigned

May 9, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Eugene M. Dagon Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1518171552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14906 WINDING CREEK COURT",
            "address_2": "SUITE 102-D",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336131627",
            "telephone_number": "813-963-7498",
            "fax_number": "813-977-4964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14906 WINDING CREEK CT",
            "address_2": "SUITE 102-D",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336131627",
            "telephone_number": "813-963-7498",
            "fax_number": "813-977-4964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAGON",
        "first_name": "EUGENE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "FL",
            "license": "ME45201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EUGENE",
            "last_name": "DAGON",
            "middle_name": "M.",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• John J. Dabrowski, PH.D.
• Maria Dabrowski
• Aparna Dacha, M.D.
• Dade Medical, Inc. (Integrated Home Care)
• Amit Daftari, M.D.
• Dah Therapies LLC
• Ashlie Daharsh, M.S. CCC-SLP
• John Raymond Dahdah
• Jaela Dahl, PHARM.D.
• John Ryan Dahl, DO

• Geriatric Psychiatry Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Geriatric Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.