Active NPI
Eugene M Macdonald, DPM
- Foot & Ankle Surgery Podiatrist
- Miami, FL
National Provider Identifier
1760489702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 07000615A
- Practice address
- PO Box 523882
C/O the Mailbox #10649
Miami, FL 33152-7604 - Phone
- (317) 827-2987
- Fax
- (317) 219-0879
- NPI assigned
- Jul 6, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 07000615A | IN | Primary |
Addresses
Primary practice location
PO Box 523882
C/O the Mailbox #10649
Miami, FL 33152-7604
Mailing address
PO Box 523882
C/O the Mailbox #10649
Miami, FL 33152-7604
Phone (317) 827-2987
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100123970 | Medicaid | IN |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722988800000",
"number": "1760489702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 523882",
"address_2": "C/O THE MAILBOX #10649",
"city": "MIAMI",
"state": "FL",
"postal_code": "331527604",
"telephone_number": "317-827-2987",
"fax_number": "317-219-0879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 523882",
"address_2": "C/O THE MAILBOX #10649",
"city": "MIAMI",
"state": "FL",
"postal_code": "331527604",
"telephone_number": "317-827-2987",
"fax_number": "317-219-0879"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACDONALD",
"first_name": "EUGENE",
"middle_name": "M",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-06",
"last_updated": "2024-08-07",
"certification_date": "2024-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "IN",
"license": "07000615A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100123970",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.