MARTHA ROSE MCDONOUGH (NPI# 1366413759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366413759 |
| Entity Type | Individual |
| Full Name | MARTHA ROSE MCDONOUGH |
| Credential | D.O. |
| Practice Address |
464016 State Road 200 Yulee FL 32097-6339 |
| Mailing Address |
86479 Meadowfield Bluffs Rd Yulee FL 32097-8410 |
| Practice Telephone | 9042613913 |
| Mailing Telephone | 9042251980 |
| Mailing Fax Number | 9042251981 |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2007-09-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | OS0007968 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
464016 STATE ROAD 200 |
| City | YULEE |
| State | FL |
| Zip Code | 32097-6339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790385144 | Jeffrey Paul Berteau | Pharmacist | 464016 State Road 200, Yulee, FL 32097-6339 | 2020-10-27 |
| 1427120005 | Amy E. Beckham | Optometrist | 464016 State Road 200, Vision Center, Yulee, FL 32097-6339 | 2006-11-15 |
| 1023194214 | Wal-mart Stores East, Lp | Technician/Technologist | 464016 State Road 200, Yulee, FL 32097-6339 | 2006-10-31 |
| 1063439362 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 464016 State Road 200, Yulee, FL 32097-6339 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104432012 | Sinead Carr | Speech-Language Pathologist | Pediatric Therapy Associates, 463380 State Rd 200 Unit A, Yulee, FL 32097 | 2020-09-17 |
| 1932749298 | Lekira Elmore Taylor | Nurse's Aide | 951421 Bridge Parkway, Fernandina Beach, FL 32097 | 2020-01-14 |
| 1003451816 | Faculty Associates, Inc | Dentist | 76011 William Burgess Boulevard, Yulee, FL 32097 | 2019-11-15 |
| 1932744414 | Beckham's Holdings,llc | Eyewear Supplier (Equipment, not the service) | 463688 Fl-200, Suite 9, Yulee, FL 32097 | 2019-11-08 |
| 1740836048 | University of Florida Jacksonville Physicians Inc | Clinic/Center | 76011 William Burgess Blvd, Yulee, FL 32097 | 2019-08-13 |
| 1669039400 | Genesis Health Development, Inc. | Clinic/Center | 463721 Sr 200, Suite 7, Jacksonville, FL 32097 | 2019-05-28 |
| 1366981540 | Shannon C Taylor | Occupational Therapist | 75136 Ravenwood Drive, Yulee, FL 32097 | 2017-02-21 |
| 1982063244 | Suzanne J Leffew | Nurse Practitioner | 463646 Sr 200 West, Ste. 12, Yulee, FL 32097 | 2016-02-15 |
| 1558737163 | Sun Gallery Enterprises | Eyewear Supplier (Equipment, not the service) | 463867 Sr 200, Suite 4, Yulee, FL 32097 | 2015-08-18 |
| 1962777177 | Spirit Enterprises | Skilled Nursing Facility | 9035 Brian Dairy Road, Largo Health Center, Largo, FL 32097 | 2012-03-21 |
| Find all providers in zip 32097 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982673786 | David Kevin White | Family Medicine | 463832 Sr 200, Credentialing Department, Yulee, FL 32097 | 2006-03-15 |
| 1649250606 | Erica Kitchell Wiedl | Family Medicine | 851042 Us Highway 17, Yulee, FL 32097-2845 | 2006-01-18 |
| 1700866621 | Thomas Britt Taylor | Family Medicine | 463832 State Road 200, Yulee, FL 32097-3638 | 2006-01-18 |
| 1710509203 | Baptist Primary Care Inc | Family Medicine | 851042 Us Highway 17, Yulee, FL 32097-2845 | 2020-05-07 |
| 1083187827 | Mcci Group Holdings LLC | Family Medicine | 463646 Sr 200 West, Suite 12, Yulee, FL 32097 | 2019-01-04 |
| 1467742957 | Jeremy Latron Coleman | Family Medicine | 851042 Us Highway 17, Yulee, FL 32097-2845 | 2011-04-18 |
| 1265614556 | Baptist Primary Care Inc | Family Medicine | 463832 Sr 200, Yulee, FL 32097 | 2007-11-29 |
| 1356454581 | Eugenia Jane Ngo | Family Medicine | 86014 Pages Dairy Rd, Yulee, FL 32097-5203 | 2006-08-15 |
| 1447260294 | Thomas C Washburn | Family Medicine | 86014 Pages Dairy Rd, Yulee, FL 32097-5203 | 2006-08-08 |
| 1720097660 | Terence Roger Collins | Family Medicine | 86014 Pages Dairy Rd, Yulee, FL 32097-5203 | 2006-08-07 |
| Find all providers in YULEE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.