Active NPI
Edward Kenneth McGough, MD
- Anesthesiology Physician
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- ME50410
- Practice address
- 655 W 8TH St
Jacksonville, FL 32209-6511 - Phone
- (904) 244-5431
- NPI assigned
- Sep 8, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 50410 | FL | |
| Anesthesiology Physician | 207L00000X | ME50410 | FL | Primary |
Addresses
Primary practice location
655 W 8TH St
Jacksonville, FL 32209-6511
Mailing address
PO Box 44008
Jacksonville, FL 32231-4008
Phone (904) 244-5431
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 374438800 | Medicaid | FL |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080125000037 | FL | Practitioner - Anesthesiology | 3971685264 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of Michigan Medical School, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- University of Florida Jacksonville Physicians, Inc.
Practice addresses (Care Compare)
1 Shircliff Way
Jacksonville, FL 32204-4748
Phone (904) 308-7300
15255 Max Leggett Pkwy
Jacksonville, FL 32218-7213
Phone (904) 383-1000
653 W 8TH St
Jacksonville, FL 32209-6511
Phone (904) 244-1680
655 W 8TH St
Jacksonville, FL 32209-6511
Phone (940) 244-4218
Hospital & facility affiliations
- Shands Jacksonville
Merit-based Incentive Payment System (MIPS)
- Final score
- 59.59 of 100
- Quality
- 59.93
- Promoting interoperability
- 0
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50410 | FL | MD | Anesthesiology Physician |
| ME50410 | FL | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Florida Jacksonville Physicians, Inc. | Current | Accepting new patients | |
| Florida Clinical Practice Association Inc | Current | Accepting new patients | |
| University of Florida Jacksonville Physicians Inc | Current | Accepting new patients | |
| University of Florida Jacksonville Physicians, Inc. | Anesthesiology | Current | Accepting new patients |
| Florida Clinical Practice Association Inc | Current | Accepting new patients |
Locations
1600 SW Archer Rd
#100371
Gainesville, FL 32610
Phone (352) 265-8335
2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990
1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077
655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680
1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414
3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404
Interoperability endpoints
- emcgough590376@direct.shands.ufl.edu
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1144276452
Anesthesiology, FL
-
- Pulmonary Disease Physician
- Jacksonville, FL
- NPI 1104086479
-
- Diagnostic Radiology Physician
- Jacksonville, FL
- NPI 1326208695
-
- Clinical Medical Laboratory
- Jacksonville, FL
- NPI 1407016645
-
- Family Medicine Physician
- Jacksonville, FL
- NPI 1487814752
-
- Durable Medical Equipment & Medical Supplies
- Ocala, FL
- NPI 1609529478
-
- Critical Care Medicine (Internal Medicine) Physician
- Jacksonville, FL
- NPI 1962662239
-
- Physiological Laboratory
- Jacksonville, FL
- NPI 1831800952
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Urgent Care Clinic/Center
- Jacksonville, FL
- NPI 1144962408
Hospital
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1821186313
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684713600000",
"number": "1982698643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 44008",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322314008",
"telephone_number": "904-244-5431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "655 W 8TH ST",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322096511",
"telephone_number": "904-244-5431"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGOUGH",
"first_name": "EDWARD",
"middle_name": "KENNETH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-08",
"last_updated": "2023-05-22",
"certification_date": "2023-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "FL",
"license": "50410",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "FL",
"license": "ME50410",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "374438800",
"state": "FL"
}
],
"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 May 22, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.