ROBERT MCDANIEL (NPI# 1316954183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316954183 |
| Entity Type | Individual |
| Full Name | ROBERT MCDANIEL |
| Credential | M.D. |
| Practice Address |
307 W Upshur Ave Gladewater TX 75647-2121 |
| Mailing Address |
4005 Technology Cntr Longview TX 75605-2697 |
| Practice Telephone | 9038452159 |
| Practice Fax Number | 9038455451 |
| Mailing Telephone | 9032470484 |
| Mailing Fax Number | 9032470485 |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2014-09-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | O5133 | TX | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669776183 | Robert Duncan Mcdaniel | Dentist | 2112 Danville Rd Sw Ste B, Decatur, AL 35601-4673 | 2010-12-23 |
| 1275901399 | Robert Mcdaniel | Physician Assistant | 28780 Single Oak Dr Ste 160, Temecula, CA 92590-5528 | 2015-09-05 |
| 1457692998 | Robert Allen Mcdaniel | Case Manager/Care Coordinator | 2150 Stockton Blvd, Sacramento, CA 95817-1337 | 2013-03-08 |
| 1245595495 | Robert Mcdaniel | Counselor | 17291 Irvine Blvd Ste 104, Tustin, CA 92780-2929 | 2012-07-12 |
| 1588945588 | Robert J Mcdaniel | Pharmacist | 2608 Naamans Creek Rd, Upper Chichester, PA 19061-3348 | 2011-09-02 |
| 1760527295 | Robert John Mcdaniel | Psychiatry & Neurology | 3676 Washington Blvd, Indianapolis, IN 46205-3560 | 2007-02-21 |
| 1629040522 | Robert E Mcdaniel | Family Medicine | 300 Steam Plant Rd, Suite 300, Gallatin, TN 37066-3032 | 2006-02-03 |
| Street Address |
307 W UPSHUR AVE |
| City | GLADEWATER |
| State | TX |
| Zip Code | 75647-2121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518986959 | Juan Raul Zapata | Family Medicine | 307 W Upshur Ave, Gladewater, TX 75647-2121 | 2006-07-18 |
| 1447813449 | Cassandra Ford | Nurse Practitioner | 307 W Upshur Ave, Gladewater, TX 75647-2121 | 2019-04-16 |
| 1497050306 | Linus Scott Medley | Nurse Practitioner | 307 W Upshur Ave, Gladewater, TX 75647-2121 | 2011-01-24 |
| 1912174111 | Phynet, Inc. | Clinic/Center | 307 W Upshur Ave, Gladewater, TX 75647-2121 | 2008-05-15 |
| 1497869804 | Robert Davidson | Internal Medicine | 307 W Upshur Ave, Gladewater, TX 75647-2121 | 2006-08-19 |
| 1669491015 | George R Smith | Internal Medicine | 307 W Upshur Ave, Gladewater, TX 75647-2121 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316559321 | B &g Custom Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1088 Willow Oak Rd, Gladewater, TX 75647 | 2020-08-20 |
| 1578866182 | Easttexrx LLC | Pharmacy | 402b W Upshur, Gladewater, TX 75647 | 2010-12-21 |
| 1518173285 | D&s Residential Services | Intermediate Care Facility, Mentally Retarded | 2402 Woodbine, Gladwater, TX 75647 | 2007-05-16 |
| 1407921638 | Michael Ray Ellis | Dentist | 406 West Upshur Ave, Gladewater, TX 75647 | 2006-11-22 |
| 1811087356 | Walker Pharmacy | Pharmacy | 402 B W Upshur, Gladewater, TX 75647 | 2006-10-13 |
| 1508953399 | Legend Healthcare Gladewater, Lp | Skilled Nursing Facility | 1201 Fm 2685, Gladewater, TX 75647 | 2006-10-05 |
| 1720033517 | L-m-r Health Care Services Inc | Intermediate Care Facility, Mentally Retarded | 502 Tenery St, Gladewater, TX 75647 | 2006-05-23 |
| 1093172785 | Tracy Casey | Nurse Practitioner | 1600 Broadway Ave, Gladewater, TX 75647 | 2016-01-26 |
| 1851434237 | Union Grove Isd | Local Education Agency (LEA) | Old Hwy 271 S, Gladewater, TX 75647-1447 | 2007-02-15 |
| 1164957692 | Jolene Ackley | Private Vehicle | 500 W Marshall Ave, Gladewater, TX 75647-2110 | 2017-04-21 |
| Find all providers in zip 75647 | ||||
| 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 |
|---|---|---|---|---|
| 1518986959 | Juan Raul Zapata | Family Medicine | 307 W Upshur Ave, Gladewater, TX 75647-2121 | 2006-07-18 |
| 1053316711 | Kenneth H. Skipper | Family Medicine | 1600 Broadway Ave, Gladewater, TX 75647-5040 | 2005-06-17 |
| 1720408909 | Joseph G. Carver | Family Medicine | 1600 Broadway Ave, Gladewater, TX 75647-5040 | 2014-04-26 |
| 1528075124 | Lynn Karin Jennings | Family Medicine | 1600 Broadway Ave, Gladewater, TX 75647-5040 | 2006-08-03 |
| 1275538019 | William Hollas | Family Medicine | 1600 Broadway Ave, Gladewater, TX 75647-5040 | 2005-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669073599 | Julie Suzanne Rodriguez | Family Medicine | 421 W Wadley Ave Ste B, Midland, TX 79705-5368 | 2020-11-06 |
| 1871194670 | Priscilla Tehrani | Family Medicine | 615 North Loop E Unit 100, Houston, TX 77022-5934 | 2020-11-06 |
| 1821699976 | Dr. G Medical Solutions | Family Medicine | 4840 W Panther Creek Dr Ste 211, The Woodlands, TX 77381-3542 | 2020-11-05 |
| 1124629522 | Jose Reynaldo Carcamo Jr. | Family Medicine | 18568 Texas 46, Suite 1001, Spring Branch, TX 78070 | 2020-11-03 |
| 1205437662 | Angela Ekern | Family Medicine | 7421 Cordoba Dr, Austin, TX 78724-6252 | 2020-11-03 |
| 1770184020 | Kara Fenceroy | Family Medicine | 5425 Rolling Meadows Dr, Fort Worth, TX 76123-2836 | 2020-11-03 |
| 1881295327 | Courtney L Buchmeier | Family Medicine | 16620 San Pedro Ave, San Antonio, TX 78232-2327 | 2020-11-02 |
| 1003416207 | Adeline Galvez | Family Medicine | 1300 W Terrell Ave Ste 270, Fort Worth, TX 76104-2820 | 2020-10-27 |
| 1710585229 | Megan Alyse Loyd | Family Medicine | 2101 Kingsley Dr Apt 3106, Pearland, TX 77584-4118 | 2020-10-16 |
| 1104424795 | Rachel Elizabeth Whitten | Family Medicine | 614 S Business Ih 35 Ste A, New Braunfels, TX 78130-4748 | 2020-10-15 |
| Find all providers with the same taxonomy | ||||
| City | GLADEWATER |
| Zip Code | 75647 |
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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.