McDonough Podiatry PA

Primary specialty

PodiatristTaxonomy code 213E00000X

License

P0979 Issued in FL

Legal business name

MCDONOUGH PODIATRY PA

Practice address

595 W Granada Blvd
Suite F
Ormond Beach, FL 32174-5190

Phone

(386) 673-2266

Fax

(386) 676-2772

NPI assigned

Dec 13, 2007

Organization subpart

No

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

Authorized official

Name

Michael W McDonough, DPM

Title

President

Phone

(386) 673-2266

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284508800000",
    "number": "1780867747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 W GRANADA BLVD",
            "address_2": "SUITE F",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321745190",
            "telephone_number": "386-673-2266",
            "fax_number": "386-676-2772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 W GRANADA BLVD",
            "address_2": "SUITE F",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321745190",
            "telephone_number": "386-673-2266",
            "fax_number": "386-676-2772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCDONOUGH PODIATRY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-13",
        "last_updated": "2010-09-15",
        "status": "A",
        "authorized_official_last_name": "MCDONOUGH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "386-673-2266",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "P0979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anellys McCoy
• Mary Jane McCreary, LPN
• Cathy Bernice McDermott, H.A.S.
• David J McDonald, MD
• James Edward McDonnell, M.D.
• Daria P McDonough
• Michael W McDonough, DPM
• Jonathon Joseph McGahan, PTA
• Christy Rose McGovern, BCBA
• April Daniette McKee

• Podiatrist in Ormond Beach, FL
• Providers in Ormond Beach, FL by specialty
• Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.