Active NPI
Jeffrey M. Donohoe, MD
- Pediatric Urology Physician
- Boynton Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Urology Physician
- License
- ME143435
- Practice address
- 10301 Hagen Ranch Rd
Boynton Beach, FL 33437-3724 - Phone
- (561) 736-7313
- NPI assigned
- Aug 30, 2006
- Last updated
- Aug 3, 2023
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 056280 | GA | |
| Urology Physician | 208800000X | 056280 | GA | |
| Pediatric Urology Physician | 2088P0231X | 56280 | GA | |
| Pediatric Urology Physician | 2088P0231X | ME143435 | FL | Primary |
Addresses
Primary practice location
10301 Hagen Ranch Rd
Boynton Beach, FL 33437-3724
Mailing address
10301 Hagen Ranch Rd
Boynton Beach, FL 33437-3724
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME143435 | FL | MD | Pediatric Urology Physician |
| 56280 | GA | MD | Pediatric Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Florida Pediatric Urology LLP | Pediatric Urology | Current | Accepting new patients |
| Specialized Outpatient Surgery Center for Children and Adults | Past | Accepting new patients | |
| Pediatrix Medical Group of Florida Inc | Pediatric Urology | Past | Accepting new patients |
Locations
9980 Central Park Blvd N
Ste 302
Boca Raton, FL 33428
Phone (561) 212-7022
3200 SW 60th Ct
Ste 104
Miami, FL 33155
Phone (786) 845-6634
1850 SW Fountainview Blvd
Ste 201
Port St Lucie, FL 34986
Phone (561) 736-7313
770 Northpoint Pkwy
Ste 200
West Palm Beach, FL 33407
Phone (561) 555-3331
Interoperability endpoints
- jeffrey.donohoe.1@32200.direct.athenahealth.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatric Urology Physician
- Miami, FL
- NPI 1891529715
-
- Pediatric Urology Physician
- Miami, FL
- NPI 1588231914
-
- Ambulatory Surgical Clinic/Center
- Boynton Beach, FL
- NPI 1427558576
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691020800000",
"number": "1780794206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10301 HAGEN RANCH RD",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334373724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10301 HAGEN RANCH RD",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334373724",
"telephone_number": "561-736-7313"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONOHOE",
"first_name": "JEFFREY",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2023-08-03",
"certification_date": "2023-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "GA",
"license": "056280",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "GA",
"license": "056280",
"primary": false
},
{
"code": "2088P0231X",
"taxonomy_group": "",
"desc": "Urology, Pediatric Urology",
"state": "GA",
"license": "56280",
"primary": false
},
{
"code": "2088P0231X",
"taxonomy_group": "",
"desc": "Urology, Pediatric Urology",
"state": "FL",
"license": "ME143435",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boynton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; 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.