McDonough OBGYN

Primary specialty

SpecialistTaxonomy code 174400000X

License

3908 Issued in AL

Legal business name

MCDONOUGH OBGYN

Practice address

207 E Watts St
Suite 200
Enterprise, AL 36330-1801

Phone

(334) 347-4646

Fax

(334) 347-8719

NPI assigned

Jun 5, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Gilbert Lee McDonough, M.D.

Title

Owner

Phone

(334) 347-4646

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982806352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 E WATTS ST",
            "address_2": "SUITE 200",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363301801",
            "telephone_number": "334-347-4646",
            "fax_number": "334-347-8719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 E WATTS ST",
            "address_2": "SUITE 200",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363301801",
            "telephone_number": "334-347-4646",
            "fax_number": "334-347-8719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCDONOUGH OBGYN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCDONOUGH",
        "authorized_official_first_name": "GILBERT",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-347-4646",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AL",
            "license": "3908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER",
            "identifier": "04173",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI NUMBER",
            "identifier": "1023077013",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "510-04173",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amber McCollister, MS, CCC-SLP
• Lori Hope McCoy, LPC
• Christine Anne McCulley, PHARMD
• Daniel Charles McCullough, D.M.D.
• Karlee McCullough
• Kaitlyn Ireland McKenzie
• Pamela Dawson McKowen, LPC
• Hannah Elizabeth McQueen, N.P.
• James Michael McQueen, M.D.
• Med South Home Medical Services, LLC

• Specialist in Enterprise, AL
• Providers in Enterprise, AL by specialty
• Specialist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.