NPIMap

Organization Active NPI

Eugene H McCoskey, D.O., P.a.

  • Pulmonary Disease Physician
  • Orange Park, FL
National Provider Identifier
1750733580
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
OS8208 Issued in FL
Legal business name
EUGENE H MCCOSKEY, D.O., P.A.
Practice address
1555 Kingsley Ave Ste 404
Orange Park, FL 32073-9207
Phone
(904) 441-1111
Fax
(904) 384-5746
NPI assigned
Jul 5, 2016
Last updated
Jul 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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

Authorized official

Name
Dr. Eugene H McCoskey II, D.O.NPI 1053330787
Title
President/Physician
Phone
(904) 923-0582

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
Pulmonary Disease Physician 207RP1001X OS8208 FL Primary

Addresses

Primary practice location

1555 Kingsley Ave Ste 404
Orange Park, FL 32073-9207

Mailing address

PO Box 380009
Jacksonville, FL 32205-0509
Phone (904) 388-3357

Other identifiers 1

IdentifierTypeStateIssuer
OS8208OtherFLMEDICAL LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161115002564 FL Part B Supplier - Clinic/Group Practice 2961781984 Receives reassigned benefits from 11 practitioners
Practice locations: Orange Park, FL

National Provider Directory

National Provider Directory

Locations

1555 Kingsley Ave
Ste 404
Orange Park, FL 32073
Phone (904) 215-0700

1689 Eagle Harbor Pkwy
Ste B
Orange Park, FL 32003
Phone (904) 236-7493

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1467676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721865600000",
    "number": "1750733580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 380009",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322050509",
            "telephone_number": "904-388-3357",
            "fax_number": "904-384-5746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 KINGSLEY AVE STE 404",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320739207",
            "telephone_number": "904-441-1111",
            "fax_number": "904-384-5746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUGENE H MCCOSKEY, D.O., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-05",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A",
        "authorized_official_last_name": "MCCOSKEY",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "904-923-0582",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "OS8208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "OS8208",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; 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.