MCDONOUGH PODIATRY PA NPI 1780867747

NPI Information

  • NPI: 1780867747
  • Provider Name: MCDONOUGH PODIATRY PA
  • Classification: Podiatrist - 213E00000X
  • Entity Type: Organization
  • Address: 595 W GRANADA BLVD
    SUITE F
    ORMOND BEACH, FL
    ZIP 32174
  • Phone: (386) 673-2266

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NPI Details

MCDONOUGH PODIATRY PA is a podiatrist in Ormond Beach, FL. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. MCDONOUGH PODIATRY PA NPI is 1780867747. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

595 W GRANADA BLVD
SUITE F
ORMOND BEACH, FL
ZIP 32174-190
Phone: (386) 673-2266
Fax: (386) 676-2772

The provider's authorized official is Michael W Mcdonough .
The authorized official title is President and has the following contact phone number (386) 673-2266.

The enumeration date for this NPI number is 12/13/2007 and was last updated on 9/15/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213E00000XPodiatristP0979FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1T95161MEDICARE UPINFLORIDA
2AI607MEDICARE PINFLORIDA
35258470002MEDICARE NSC
45258470001MEDICARE NSC
587626MEDICARE PINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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