Active NPI
Patrick Michael McGookey, M.D.
- Specialist
- Cape Coral, FL
National Provider Identifier
1740258045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- ME0060048
- Practice address
- 126 Del Prado Blvd N
Unit 106
Cape Coral, FL 33909-2713 - Phone
- (239) 772-5066
- Fax
- (239) 772-4194
- NPI assigned
- Mar 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | ME0060048 | FL | Primary |
Addresses
Primary practice location
126 Del Prado Blvd N
Unit 106
Cape Coral, FL 33909-2713
Mailing address
126 Del Prado Blvd N
Unit 106
Cape Coral, FL 33909-2713
Phone (239) 772-5066
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 373171500 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0060048 | FL | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399507200000",
"number": "1740258045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "126 DEL PRADO BLVD N",
"address_2": "UNIT 106",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339092713",
"telephone_number": "239-772-5066",
"fax_number": "239-772-4194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "126 DEL PRADO BLVD N",
"address_2": "UNIT 106",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339092713",
"telephone_number": "239-772-5066",
"fax_number": "239-772-4194"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGOOKEY",
"first_name": "PATRICK",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-10",
"last_updated": "2014-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "ME0060048",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "373171500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cape Coral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.