DANIEL B ABBOTT (NPI# 1417369604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417369604 |
| Entity Type | Individual |
| Full Name | DANIEL B ABBOTT |
| Credential | M.D. |
| Practice Address |
5177 Mccarty Ln Lafayette IN 47905-8764 |
| Mailing Address |
1200 W White River Blvd Rcs Provider Enrollment Muncie IN 47303-4988 |
| Practice Telephone | 7654488000 |
| Mailing Telephone | 7652544009 |
| Enumeration Date | 2014-05-22 |
| Last Update Date | 2019-05-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 01082079A | IN | Allopathic & Osteopathic Physicians |
| N | 208800000X | Urology | MT206783 | PA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3500 N Broad St, Suite 330, Zone C, Philadelphia, PA 191404106 | 2157073375 | 2157074758 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467894873 | Daniel Wesley Abbott | Pathology | 116 E 11th St Ste 204, Spencer, IA 51301 | 2013-07-26 |
| 1750412615 | Daniel Erik Abbott | Surgery | 600 Highland Ave, Madison, WI 53792-5531 | 2007-03-09 |
| 1699817957 | Daniel Koteskey Abbott | Social Worker | 9430 E Neville Ave, Mesa, AZ 85209-1500 | 2007-02-13 |
| 1689681165 | Daniel J Abbott | Social Worker | 6515 Watts Rd, Ste 206, Madison, WI 53719-1726 | 2006-08-01 |
| 1518907864 | Daniel Abbott | Emergency Medicine | 101 E Valencia Mesa Dr, Em Dept, Fullerton, CA 92835-3809 | 2006-06-07 |
| Street Address |
5177 MCCARTY LN |
| City | LAFAYETTE |
| State | IN |
| Zip Code | 47905-8764 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659551224 | Shellene Coleman | Nurse Practitioner | 5177 Mccarty Ln, Lafayette, IN 47905-8764 | 2007-11-12 |
| 1558989491 | Nuvair Ali Imam | Student in an Organized Health Care Education/Training Program | 5177 Mccarty Ln, Lafayette, IN 47905-8764 | 2020-07-07 |
| 1336766559 | Jasmin Poonia | Student in an Organized Health Care Education/Training Program | 5177 Mccarty Ln, Lafayette, IN 47905-8764 | 2020-07-03 |
| 1316564537 | Meagan Dineen | Student in an Organized Health Care Education/Training Program | 5177 Mccarty Ln, Lafayette, IN 47905-8764 | 2020-07-03 |
| 1952927469 | Manjinder Singh Sekhon | Student in an Organized Health Care Education/Training Program | 5177 Mccarty Ln, Lafayette, IN 47905-8764 | 2020-06-20 |
| 1083236046 | Brittany Chana'is Kendrick | Midwife | 5177 Mccarty Ln, Lafayette, IN 47905-8764 | 2020-05-13 |
| 1629607239 | Sherif Magdy Amin | Student in an Organized Health Care Education/Training Program | 5177 Mccarty Ln, Lafayette, IN 47905-8764 | 2020-04-06 |
| 1710516406 | Victoria Claire Robinson | Specialist/Technologist, Other | 5177 Mccarty Ln, Lafayette, IN 47905-8764 | 2020-04-03 |
| 1871153825 | Vinusiya Shanmugalingam | Student in an Organized Health Care Education/Training Program | 5177 Mccarty Ln, Lafayette, IN 47905-8764 | 2019-06-20 |
| 1588223267 | Raeven N Cole | Registered Nurse | 5177 Mccarty Ln, Lafayette, IN 47905-8764 | 2019-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538719893 | Elements Counseling LLC | Social Worker | 115 N. Farabee Drive, Lafayette, IN 47905 | 2019-09-18 |
| 1134596869 | Indiana Dental Sleep Therapy LLC | Dentist | 4921 Sr 26 E, Suite 300, Lafayette, IN 47905 | 2015-08-28 |
| 1255750899 | Emily S Miller | Physical Therapist | 1701 Creasy Ln, Lafayette, IN 47905 | 2014-04-10 |
| 1073876215 | Nathan Webster | Dentist | 1530 Kossuth St., Lafayette, IN 47905 | 2012-06-22 |
| 1578848370 | Mark Jin Kim | Pharmacist | 1801 South St., Lafayette, IN 47905 | 2011-10-13 |
| 1700177185 | Shannon Tawn Harris | Speech-Language Pathologist | 8900 Cobbler Lane, Lafayette, IN 47905 | 2011-04-20 |
| 1508164484 | David Thomas Beine | Specialist/Technologist | 1321 Unity Pl Ste A, Lafayette, IN 47905 | 2011-03-02 |
| 1447569538 | Deidre Dudley | Nurse Practitioner | 1701 S Creasy Ln Ste 1w93, Lafayette, IN 47905 | 2010-10-07 |
| 1548493067 | Unity Healthcare, LLC | Podiatrist | 750 Park East Blvd, Unit 4, Lafayette, IN 47905 | 2009-09-01 |
| 1073762969 | Lynette Marie Alexander | Nurse Practitioner | 5500 St Rd. 38 East, Lafayette, IN 47905 | 2008-09-16 |
| Find all providers in zip 47905 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881012722 | Julio Tian-fa Chong | Urology | 300 Exempla Cir Ste 250, Lafayette, CO 80026-3392 | 2014-03-28 |
| 1093973984 | Charles Bruce Williams Jr. | Urology | 913 S College Rd Ste 203, Lafayette, LA 70503-3062 | 2008-05-28 |
| 1467540344 | Jeannette M Chassaignac | Urology | 1016 Coolidge Blvd, Lafayette, LA 70503-2436 | 2006-10-10 |
| 1275634107 | Jeffrey J Thibodeaux | Urology | 200-a Energy Parkway, Suite 209, Lafayette, LA 70508 | 2006-09-25 |
| 1851333520 | Emilia Ripoll | Urology | 120 Old Laramie Trail East, Lafayette, CO 80026-5600 | 2006-06-10 |
| 1548810120 | Advanced Urology, Pllc | Urology | 300 Exempla Cir Ste 250, Lafayette, CO 80026-3392 | 2019-09-16 |
| 1528420858 | Unity Healthcare, LLC | Urology | 1345 Unity Pl, Suite 110a, Lafayette, IN 47905-5760 | 2016-03-25 |
| 1750775672 | Hyosang Abraham Chiang | Urology | 280 Exempla Cir, Lafayette, CO 80026-3370 | 2015-03-28 |
| 1760612865 | Southern Urology LLC | Urology | 1016 Coolidge Blvd, Lafayette, LA 70503-2436 | 2009-07-23 |
| 1205060175 | Jason Bourque | Urology | 120 Rue Louis Xiv, Lafayette, LA 70508-5739 | 2009-05-07 |
| Find all providers in LAFAYETTE | ||||
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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.