Eugene Jonathan C. Eugenio, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

37901 Issued in KY

Practice address

483 N Semoran Blvd Ste 104
Winter Park, FL 32792-3800

Phone

(321) 436-0771

Fax

(407) 218-8906

NPI assigned

Mar 31, 2006

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 4

Medicare fee-for-service enrollment

Enrolled in KY, FL2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles (9 of 11)

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Elite Imaging, LLC

  • Diagnostic Radiology Physician
  • Aventura, FL
  • NPI 1942208319

  Diagnostic Radiology, KY

  Medicare reassignment NPD
• Health Diagnostics of Orlando LLC

  • Diagnostic Radiology Physician
  • Orlando, FL
  • NPI 1184671257

  Diagnostic Radiology, FL

  Medicare reassignment NPD
• Elite Imaging LLC

  • Diagnostic Radiology Physician
  • Orange Park, FL
  • NPI 1346516853

  Diagnostic Radiology

  NPD
• Health Diagnostics of Orlando, LLC

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Naples, FL
  • NPI 1841514254
  NPD
• Pan Am Diagnostic Services, Inc.

  • Clinic/Center
  • Pembroke Pines, FL
  • NPI 1912911819
  NPD
• Presgar Imaging of Daytona, LLLP

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Daytona Beach, FL
  • NPI 1881904902
  NPD
• Drew Medical Inc

  • Specialist
  • Ocoee, FL
  • NPI 1811989296
  NPD (past)
• Neurodiagnostics Inc.

  • Radiology Clinic/Center
  • Lexington, KY
  • NPI 1174697858
  NPD (past)
• Open MRI, LLC

  • Body Imaging Physician
  • Louisville, KY
  • NPI 1770550550
  NPD (past)

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622505600000",
    "number": "1679534366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2208 TERRANOVA CT",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405131839",
            "telephone_number": "859-536-4189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "483 N SEMORAN BLVD STE 104",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327923800",
            "telephone_number": "321-436-0771",
            "fax_number": "407-218-8906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EUGENIO",
        "first_name": "EUGENE JONATHAN",
        "middle_name": "C.",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KY",
            "license": "37901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64075161",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000331711",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00205115",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "611033603",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kendra E. Estep, PA-C
• Elizabeth A Estrada, MD
• Jennifer H Estrada
• Jonathan Estrada
• Eugenio T. Vano, Jr., M.D., P.a.
• Joshua Michael Evans, PA-C
• Lori Jo Evans, PA-C
• Maryanne P Evans, ARNP
• Eve'S Therapy, Inc
• Ronald Evens, RN

• All providers in Winter Park, FL
• Diagnostic Radiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; 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.