CHARLES D DANIELS (NPI# 1396732335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396732335 |
| Entity Type | Individual |
| Full Name | CHARLES D DANIELS |
| Credential | M.D. |
| Practice Address |
2700 Vine St El Dorado AR 71730-6700 |
| Mailing Address |
Po Box 10730 El Dorado AR 71730-0028 |
| Practice Telephone | 8708621144 |
| Practice Fax Number | 8708640782 |
| Mailing Telephone | 8708621144 |
| Mailing Fax Number | 8708640782 |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2008-11-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | N8314 | AR | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | DMEPOS | 0424120002 | 01 |
| AR | UNITED/RAILROAD MEDICARE | 200031991 | 01 |
| AR | 129458001 | 05 | |
| AR | QUAL CHOICE | 16911000000 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891076667 | Charles C Daniels | Counselor | 100a Warren St, Boston, MA 02119-3209 | 2011-09-07 |
| 1699026716 | Charles Christopher Daniels | Nurse Anesthetist, Certified Registered | 505 Ne 87th Ave, Suite 46.5, Vancouver, WA 98664-1989 | 2012-09-28 |
| 1780844654 | Charles Daniels | Counselor | 320 High St Ne, Warren, OH 44481-1222 | 2008-06-13 |
| 1710167168 | Charles Shane Daniels | Physical Medicine & Rehabilitation | 34145 Pacific Coast Hwy, #603, Dana Point, CA 92629-2808 | 2007-11-13 |
| 1326196973 | Charles Edward Daniels | Pharmacist | 200 West Arbor Drive, Pharmacy Department Mc8765, San Diego, CA 92103-8765 | 2007-01-08 |
| 1225078561 | Charles W. Daniels | Internal Medicine | 4230 Harding Rd, Suite 201, Nashville, TN 37205-2013 | 2006-06-07 |
| 1316923246 | Charles Andrew Daniels | Pathology | 1700 Medical Way, Snellville, GA 30078-2195 | 2005-12-22 |
| Street Address |
2700 VINE ST |
| City | EL DORADO |
| State | AR |
| Zip Code | 71730-6700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740751981 | Gregg L Massanelli Mdpa | Orthopaedic Surgery | 2700 Vine St, El Dorado, AR 71730-6700 | 2018-12-16 |
| 1508376690 | Kathryn Marie Inman | Physical Therapist | 2700 Vine St, El Dorado, AR 71730-6700 | 2017-10-03 |
| 1932624244 | Randall W Jerry | Physical Therapist | 2700 Vine St, El Dorado, AR 71730-6700 | 2017-08-08 |
| 1225576606 | Jonathan Randle | Physical Therapist | 2700 Vine St, El Dorado, AR 71730-6700 | 2017-02-06 |
| 1225339039 | Rebecca Ann Davis | Occupational Therapist | 2700 Vine St, Attn: Pt Department, El Dorado, AR 71730-6700 | 2010-11-10 |
| 1639348725 | Laura Lea Stevens | Specialist | 2700 Vine St, El Dorado, AR 71730-6700 | 2008-02-22 |
| 1871778167 | Empicare, Inc | Durable Medical Equipment & Medical Supplies | 2700 Vine St, Suite A, El Dorado, AR 71730-6700 | 2008-01-04 |
| 1528247418 | Sharon K Hanry | Occupational Therapist | 2700 Vine St, El Dorado, AR 71730-6700 | 2007-10-29 |
| 1265654727 | Sarah Saffold | Specialist | 2700 Vine St, El Dorado, AR 71730-6700 | 2007-05-03 |
| 1407845951 | South Arkansas Orthopaedics and Sports Medicine Center Pllc | Specialist | 2700 Vine St, El Dorado, AR 71730-6700 | 2005-10-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043856172 | Mental Health Counseling for Individuals and Couples | Clinic/Center | 3256 West Hillsboro Suite C, El Dorado, AR 71730 | 2019-11-25 |
| 1114578168 | Candance Marie Guinn | Nurse Practitioner | 1906 W Hillsboro St Ste B, El Dorado, AR 71730 | 2019-09-20 |
| 1811460462 | Kelsie Rogers | Pharmacist | 2202 N West Ave, El Dorado, El Dorado, AR 71730 | 2019-01-07 |
| 1861925331 | Kasey Leigh Mcclain | Nurse Practitioner | 2280 E Main St, El Dorado, AR 71730 | 2017-04-11 |
| 1366989568 | Shane Morr | Marriage & Family Therapist | 704 W 5th Dr, El Dorado, AR 71730 | 2017-01-25 |
| 1376986539 | Ivory A. Kinslow, Mdpa | Optometrist | 443 W Oak St, El Dorado, AR 71730 | 2013-04-08 |
| 1134485170 | Drs Weddle and Baumsardner | Dentist | 106 West Main St. 212, El Dorado, AR 71730 | 2012-04-04 |
| 1972888923 | Lenora S Newsome | Pharmacist | 2135 North West Ave, El Dorado, AR 71730 | 2011-10-20 |
| 1730460338 | South Arkansas Pharmacy, Inc | Pharmacy | 600 South Timberlane #101, El Dorado, AR 71730 | 2011-09-09 |
| 1710273891 | Ezinne Charity Nwude | Emergency Medicine | 701 N. West Avenue, El Dorado, AR 71730 | 2011-06-27 |
| Find all providers in zip 71730 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417164559 | Neurology and Sleep Disorder Center of South Arkansas | Specialist | 300 Thompson Ave, El Dorado, AR 71730-4569 | 2007-05-17 |
| 1659594521 | Ross Lowery | Specialist | 702 E 6th St, El Dorado, AR 71730-4012 | 2007-04-10 |
| 1295849495 | John J Jucas | Specialist | 525 W Faulkner St, El Dorado, AR 71730-4518 | 2006-08-18 |
| 1871580704 | Richard Edward Dietzen | Specialist | 403 W Oak St, Suite 302, El Dorado, AR 71730-4586 | 2005-10-05 |
| 1548599988 | Interventional and Diagnostic Radiology of South Arkansas, P.a. | Specialist | 700 W Grove St, El Dorado, AR 71730-4416 | 2009-12-14 |
| 1114174893 | Womens Health Butler County P.a. | Specialist | 700 W Central Ave, Suite 412, El Dorado, KS 67042-2184 | 2008-08-25 |
| 1639348725 | Laura Lea Stevens | Specialist | 2700 Vine St, El Dorado, AR 71730-6700 | 2008-02-22 |
| 1598978801 | South Ar Surgical Clinic of El Dorado, Inc | Specialist | 815 Thompson Ave, El Dorado, AR 71730-4464 | 2007-05-07 |
| 1265654727 | Sarah Saffold | Specialist | 2700 Vine St, El Dorado, AR 71730-6700 | 2007-05-03 |
| 1952471849 | Radiology Associates of El Dorado Pllc | Specialist | 700 W Grove St, El Dorado, AR 71730-4416 | 2006-11-08 |
| Find all providers in EL DORADO | ||||
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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.