MICHELLE RENEE DANIELS (NPI# 1063714475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063714475 |
| Entity Type | Individual |
| Full Name | MICHELLE RENEE DANIELS |
| Credential | PA-C |
| Practice Address |
4660 Wilkens Ave Ste 302 Baltimore MD 21229-4845 |
| Mailing Address |
2 Park Center Ct Suite 200 Owings Mills MD 21117-4295 |
| Practice Telephone | 4436937246 |
| Mailing Telephone | 4436937246 |
| Enumeration Date | 2010-11-18 |
| Last Update Date | 2019-04-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
C0004212 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 961012000 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3416 Olandwood Ct Ste 204, Olney, MD 208321373 | 4436937246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134678741 | Michelle Daniels | Contractor | 3134 Grace Miller Rd, Newton, GA 39870-8234 | 2016-09-23 |
| 1679949697 | Michelle Ladawn Daniels | Non-emergency Medical Transport (VAN) | 16124 Se County Road 2375, Streetman, TX 75859-7148 | 2015-08-13 |
| 1720484363 | Michelle Daniels | Specialist/Technologist | 17 Franklin Tree Court, Catonsville, MD 21228 | 2014-11-10 |
| 1477728152 | Michelle S. Daniels | Obstetrics & Gynecology | 2790 Clay Edwards Drive, Suite 530, North Kansas City, MO 64116 | 2008-04-24 |
| 1518154095 | Michelle Ann Daniels | Case Manager/Care Coordinator | 3216 Nw 47th Pl, Gainesville, FL 32605-1100 | 2007-09-28 |
| 1831391135 | Michelle Lynn Daniels | Student in an Organized Health Care Education/Training Program | 1071 N Abbott Ave, Milpitas, CA 95035-2937 | 2007-05-31 |
| 1922649466 | Michelle Nicole Daniels | Licensed Practical Nurse | 4300 Sw 13th St, Gainesville, FL 32608-4006 | 2019-10-07 |
| 1851819809 | Michelle Joy Daniels | Nurse Practitioner | 3027 Main St, Vernon, FL 32462-2220 | 2017-08-30 |
| 1245753318 | Michelle Boyd Daniels | Nurse Practitioner | 455 Pinellas St Ste 400, Clearwater, FL 33756-3356 | 2017-07-20 |
| 1306145636 | Michelle Daniels | Registered Nurse | 3101 Burnet Avenue, Room 116, Cincinnati, OH 45229-3014 | 2011-03-25 |
| Street Address |
4660 WILKENS AVE STE 302 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21229-4845 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952825705 | Advanced Pain Management Specialists, LLC | Physical Medicine & Rehabilitation | 4660 Wilkens Ave Ste 302, Baltimore, MD 21229-4845 | 2017-08-02 |
| 1437569779 | Todd Ruth | Anesthesiology | 4660 Wilkens Ave Ste 302, Baltimore, MD 21229-4845 | 2014-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265068373 | Bodyworks Medical | Clinic/Center | St. Agnes Medical Center, 3455 Wilkens Ave Suite 100, Baltimore, MD 21229 | 2020-03-20 |
| 1750932430 | Amanda Felix | Nurse Practitioner | 5411 Old Frederick Road, Catonsville, MD 21229 | 2019-09-24 |
| 1497317853 | Wakeelat A Adeoye | Nurse Practitioner | 5411 0ld Fredrick Rd, Suite 7, Baltimore, MD 21229 | 2019-07-05 |
| 1598328080 | Oprah Cherelle Keyes | Social Worker | 4511 Birchwood Drive, Baltimore, MD 21229 | 2019-04-19 |
| 1477051779 | Shahin Vohara | Dentist | Dental Dreams, 4510 Edmondson Avenue, Edmondson Village Shopping Center, Baltimore, MD 21229 | 2018-02-01 |
| 1386179299 | Sharon Mccollough | Counselor | 3219 Phelps Lane, First Floor, Baltimore, MD 21229 | 2017-04-28 |
| 1184175697 | Yekeen Odewale | Registered Nurse | 5411 Old Frederick Rd Ste 7, Baltimore, MD 21229 | 2016-10-19 |
| 1942608070 | Charity Ashe | Social Worker | 4024 Colborne Rd, Baltimore, MD 21229 | 2014-12-05 |
| 1376947127 | Sumanya Venkat Rao | Dentist | 4510 Edmondson Ave, Baltimore, MD 21229 | 2014-10-21 |
| 1497091573 | Anita Phillips | Social Worker | 5110 Frederick Avenue, Baltimore, MD 21229 | 2012-12-18 |
| Find all providers in zip 21229 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902381353 | Brandon Wilson | Physician Assistant | 5601 Lochraven Blvd, Baltimore, MD 21239 | 2018-10-02 |
| 1245718733 | Kaitlyn Ayerle | Physician Assistant | 9900 Franklin Square Dr Ste B, Baltimore, MD 21236-5915 | 2018-08-06 |
| 1376037572 | Marie Hoffman | Physician Assistant | 1838 Greene Tree Rd Ste 400, Baltimore, MD 21208-7103 | 2018-06-20 |
| 1902315625 | Randy Kimery | Physician Assistant | 3421 Benson Ave Ste 210, Baltimore, MD 21227-1064 | 2017-09-26 |
| 1447701958 | Yuliya Shmyga Fischer | Physician Assistant | 345 St Paul Pl, Baltimore, MD 21202-1937 | 2016-10-19 |
| 1851845655 | Tamarah Thompson | Physician Assistant | 1830 E Monument St Ste 452, Baltimore, MD 21287-0020 | 2016-08-09 |
| 1194194449 | Alexzandra Kristyna Briedis | Physician Assistant | 1311 Olive St, Baltimore, MD 21230-4255 | 2015-09-16 |
| 1295124030 | Miriam Weiss | Physician Assistant | 6602 Troy Ct, Baltimore, MD 21209-2636 | 2015-01-16 |
| 1972992824 | Kelley Crane | Physician Assistant | 4940 Eastern Ave Ste A-150, Baltimore, MD 21224-2735 | 2015-01-15 |
| 1447688353 | Adina Bergmann | Physician Assistant | 3630 Milford Mill Rd, Baltimore, MD 21244-3328 | 2013-10-31 |
| Find all providers in BALTIMORE | ||||
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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.