Organization Active NPI

Duhaney Medical, P.a.

  • Family Medicine Physician
  • Boca Raton, FL
National Provider Identifier
1629487939
Registry record updated Aug 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
DUHANEY MEDICAL, P.A.
Practice address
9808 Grand Verde Way
802
Boca Raton, FL 33428-3516
Phone
(866) 512-5463
NPI assigned
Aug 12, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2014

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

Authorized official

Name
Dr. Michelle Duhaney, DONPI 1871816835
Title
Owner
Phone
(866) 512-5463

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

9808 Grand Verde Way
802
Boca Raton, FL 33428-3516

Mailing address

9808 Grand Verde Way
802
Boca Raton, FL 33428-3516
Phone (866) 512-5463

Other identifiers 1

IdentifierTypeStateIssuer
9999999OtherFLCOMMERCIAL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150310001107 FL Part B Supplier - Clinic/Group Practice 9133445182 Receives reassigned benefits from 5 practitioners
Practice locations: Delray Beach, FL; Boca Raton, FL

National Provider Directory

National Provider Directory

Locations

6393 S Verde TRL
Boca Raton, FL 33433

2900 N Military Trl
Ste 210
Boca Raton, FL 33431
Phone (561) 808-8502

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1407801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407801600000",
    "number": "1629487939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9808 GRAND VERDE WAY",
            "address_2": "802",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334283516",
            "telephone_number": "866-512-5463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9808 GRAND VERDE WAY",
            "address_2": "802",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334283516",
            "telephone_number": "866-512-5463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUHANEY MEDICAL, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-12",
        "last_updated": "2014-08-12",
        "status": "A",
        "authorized_official_last_name": "DUHANEY",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "866-512-5463",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL",
            "identifier": "9999999",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.