Individual provider Active NPI

Jeffrey M. Donohoe, MD

  • Pediatric Urology Physician
  • Boynton Beach, FL
National Provider Identifier
1780794206
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Urology PhysicianTaxonomy code 2088P0231X
License
ME143435 Issued in FL
Practice address
10301 Hagen Ranch Rd
Boynton Beach, FL 33437-3724
Phone
(561) 736-7313
NPI assigned
Aug 30, 2006
Last updated
Aug 3, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201015001342 FL Practitioner - Urology 0840234068 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME143435FLMDPediatric Urology Physician
56280GAMDPediatric Urology Physician

Practice roles

OrganizationSpecialtyStatusNew 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.