TYRONE L DANIELS (NPI# 1043264393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043264393 |
| Entity Type | Individual |
| Full Name | TYRONE L DANIELS |
| Credential | MD |
| Practice Address |
1111 Medical Center Cir Mayfield KY 42066-1194 |
| Practice Telephone | 2702514090 |
| Practice Fax Number | 2702514093 |
| Mailing Telephone | 2702514090 |
| Mailing Fax Number | 2702514093 |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2018-03-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
14818 | WV | Allopathic & Osteopathic Physicians |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
32841 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE RAILROAD | P00837112 | 01 | |
| WV | 0070798000 | 05 | |
| KY | 64328412 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 289 Ireland Ave, Medical Specialty Clinic, Fort Knox, KY 401215111 | 5026249167 | 5026240376 |
| Street Address |
1111 MEDICAL CENTER CIR |
| City | MAYFIELD |
| State | KY |
| Zip Code | 42066-1194 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538162458 | Joseph C. Slaughter | Internal Medicine | 1111 Medical Center Cir, Mayfield, KY 42066-1194 | 2005-05-24 |
| 1992254288 | Jackson Purchase Pulmonary Medicine Pllc | Nurse Practitioner | 1111 Medical Center Cir, Mayfield, KY 42066-1194 | 2016-09-27 |
| 1114383981 | Jennifer L Carrico | Nurse Practitioner | 1111 Medical Center Cir, Mayfield, KY 42066-1194 | 2016-01-11 |
| 1902189491 | Michelle Ann Jewell | Nurse Practitioner | 1111 Medical Center Cir, Mayfield, KY 42066 | 2011-09-21 |
| 1912216532 | Pinelake Physician Practice LLC | Family Medicine | 1111 Medical Center Cir, Mayfield, KY 42066-1194 | 2010-09-30 |
| 1104147891 | Siddharth Patel | Pediatrics | 1111 Medical Center Cir, Mayfield, KY 42066-1194 | 2010-06-16 |
| 1255650479 | Pinelake Physician Practice LLC | Otolaryngology | 1111 Medical Center Cir, Mayfield, KY 42066-1194 | 2010-05-27 |
| 1942535281 | Pinelake Physician Practice, LLC | Durable Medical Equipment & Medical Supplies | 1111 Medical Center Cir, Mayfield, KY 42066-1194 | 2009-10-05 |
| 1346478344 | Pooja Parshotam Makhija | Pediatrics | 1111 Medical Center Cir, Mayfield, KY 42066-1194 | 2009-06-29 |
| 1972738839 | Pinelake Physician Practice, LLC | Surgery | 1111 Medical Center Cir, Mayfield, KY 42066-1194 | 2009-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760031959 | Snh Derby Tenant LLC | Assisted Living Facility | 1517 West Broadway Street, Mayfield, KY 42066 | 2019-09-10 |
| 1033674254 | Mind, Body, Soul, LLC | Clinic/Center | 1325 Us 45 S, Suite C, Mayfield, KY 42066 | 2019-02-01 |
| 1699288936 | Kimberly Kaye Gooch | Developmental Therapist | 3907 State Route 303, Mayfield, KY 42066 | 2017-11-08 |
| 1538604657 | Courtney L Coleman | Nurse Practitioner | 1029 Medical Center Cir Ste 200, Mayfield, KY 42066 | 2016-12-28 |
| 1659814721 | Bertha Workman | Voluntary or Charitable | 331 South 7th Street, Mayfield, KY 42066 | 2016-11-22 |
| 1699174052 | Laura Dassing | Counselor | 1325 Hwy 45 N, Mayfield, KY 42066 | 2014-08-21 |
| 1275947905 | Wkda Services LLC | Community/Behavioral Health | 1325 U S Hwy 45n, Mayfield, KY 42066 | 2014-06-20 |
| 1538594247 | Young Healthcare LLC | Chiropractor | 1011 Paris Road #341, Mayfield, KY 42066 | 2013-09-12 |
| 1811335649 | Donald Bennett Dowdy | Dentist | 236 N. 6th St., Mayfield, KY 42066 | 2013-06-14 |
| 1578822623 | Wanda Bingham Marshall | Counselor | 325 South 8th Street, West Kentucky Counseling Center, Mayfield, KY 42066 | 2012-05-10 |
| Find all providers in zip 42066 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891939690 | Pinelake Physician Practice LLC | Internal Medicine | 1029 Medical Center Cir, Mayfield, KY 42066-1189 | 2009-04-23 |
| 1760436174 | Jackson Purchase Cardiology | Internal Medicine | 1029 Medical Center Cir, Suite 200, Mayfield, KY 42066-1189 | 2006-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881182657 | Have A Heart Foundation Inc | Internal Medicine | 310 E Broadway Ste 100, Louisville, KY 40202-1745 | 2018-04-27 |
| 1104356567 | Mmr Cardiovascular Consulting LLC | Internal Medicine | 1101 Glenlake Way, Louisville, KY 40245 | 2017-06-18 |
| 1992246953 | Northeast Cardiology Pllc | Internal Medicine | 1313 St.anthony Place, Louisville, KY 40204-0130 | 2017-03-10 |
| 1619325719 | Bluegrass Vascular Institute | Internal Medicine | 101 Financial Dr, Suite B103, Elizabethtown, KY 42701 | 2016-05-31 |
| 1427410596 | Lauren Albers | Internal Medicine | 550 South Jackson St, Louisville, KY 40202 | 2016-03-28 |
| 1396138202 | Louisville Cardiovascular Care Pllc | Internal Medicine | 1411 Hadleigh Pl, Louisville, KY 40222-5652 | 2015-03-17 |
| 1629481270 | Harleen Chahil | Internal Medicine | 201 Abraham Flexner Way Ste 600, Louisville, KY 40202-3841 | 2014-06-10 |
| 1710329776 | Jovil Kannampuzha | Internal Medicine | 1300 Merritt Dr Ste 110, Henderson, KY 42420-2788 | 2013-07-19 |
| 1972842201 | Francis Attah Benn | Internal Medicine | 900 S Limestone Ctw 326, Lexington, KY 40536-3609 | 2013-02-06 |
| 1578827630 | Ahmad Ramy Elashery | Internal Medicine | 900 S Limestone St Ctw 326, Lexington, KY 40536-5805 | 2012-07-03 |
| Find all providers with the same taxonomy | ||||
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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.