Organization Active NPI

Dennis J McDonagh M D P a

  • Pulmonary Disease Physician
  • Jacksonville, FL
National Provider Identifier
1902178254
Registry record updated Mar 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
DENNIS J MCDONAGH M D P A
Practice address
2636 Forest Cir
Jacksonville, FL 32257-5612
Phone
(904) 739-1648
NPI assigned
Feb 2, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2012

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

Authorized official

Name
Dennis J McDonagh, MD
Title
Owner
Phone
(904) 739-1648

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X Primary

Addresses

Primary practice location

2636 Forest Cir
Jacksonville, FL 32257-5612

Mailing address

2636 Forest Cir
Jacksonville, FL 32257-5612
Phone (904) 739-1648

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1328140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331596800000",
    "number": "1902178254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2636 FOREST CIR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322575612",
            "telephone_number": "904-739-1648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2636 FOREST CIR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322575612",
            "telephone_number": "904-739-1648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENNIS J MCDONAGH M D P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-02",
        "last_updated": "2012-03-13",
        "status": "A",
        "authorized_official_last_name": "MCDONAGH",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-739-1648",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2012; 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.