EDWARD P. DAETWYLER (NPI# 1669445722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669445722 |
| Entity Type | Individual |
| Full Name | EDWARD P. DAETWYLER |
| Credential | M.D. |
| Practice Address |
350 W Columbia St Suite 310 Evansville IN 47710-1782 |
| Practice Telephone | 8124252646 |
| Practice Fax Number | 8124677209 |
| Mailing Telephone | 8124252646 |
| Mailing Fax Number | 8124677209 |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2012-12-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0007X |
Otolaryngology Specialization: Plastic Surgery within the Head & Neck |
01032497A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100078630 | 05 |
| Street Address |
350 W COLUMBIA ST SUITE 310 |
| City | EVANSVILLE |
| State | IN |
| Zip Code | 47710-1782 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124021555 | Merral B Lewis | Family Medicine | 350 W Columbia St, Ste 440, Evansville, IN 47710-1782 | 2005-05-31 |
| 1740806918 | Kayla M Robinson | Physician Assistant | 350 W Columbia St, Evansville, IN 47710-1782 | 2020-06-23 |
| 1821440199 | Tristate Retina and Eye Center, LLC | Ophthalmology | 350 W Columbia St, Suite 250, Evansville, IN 47710-1782 | 2016-07-11 |
| 1790185627 | Megan Lynn Grable | Audiologist | 350 W Columbia St, Suite 300, Evansville, IN 47710-1782 | 2014-08-28 |
| 1578978557 | Melinda A Clark | Nurse Practitioner | 350 W Columbia St, Ste 350, Evansville, IN 47710-5610 | 2014-06-27 |
| 1194159418 | Deaconess Clinic, Inc | Nurse Practitioner | 350 W Columbia St, Ste 210, Evansville, IN 47710-1782 | 2013-08-22 |
| 1861824716 | Deaconess Hospital, Inc | Nurse Practitioner | 350 W Columbia St, Ste 210, Evansville, IN 47710 | 2013-08-02 |
| 1639453400 | Deaconess Hospital, Inc | Durable Medical Equipment & Medical Supplies | 350 W Columbia St, Suite 110, Evansville, IN 47710-1782 | 2011-09-28 |
| 1245569482 | Merral Lewis Family Practice PC | Family Medicine | 350 W Columbia St, Ste 440, Evansville, IN 47710-1782 | 2009-12-17 |
| 1457597197 | Deaconess Hospital, Inc | Family Medicine | 350 W Columbia St, Ste 350, Evansville, IN 47710-5610 | 2008-12-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659860971 | Deaconess Clinic, Inc. | Clinic/Center | 309 N 1st Ave, Evansville, IN 47710 | 2018-05-02 |
| 1558858852 | Amanda Marie Fox | Nurse Practitioner | 3838 N 1st Ave Ste E, Evansville, IN 47710 | 2018-04-23 |
| 1255708723 | Peter Wulff | Dentist | 350 W Columbia St Ste 1-d, Evansville, IN 47710 | 2015-08-31 |
| 1427483999 | Deanna Lynne Plummer | Nurse Practitioner | 4480 First Avenue, Evansville, IN 47710 | 2013-09-03 |
| 1124371067 | Michael Wayne Daugherty | Radiology | 350 W Columbia St Ste 420, Evansville, IN 47710 | 2012-10-16 |
| 1316249105 | Melisha Victoria Knowlden | Counselor | 1333 W. Mill Rd, Suite #204, Evansville, IN 47710 | 2010-11-30 |
| 1609057835 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 621 W Columbia St, Evansville, IN 47710 | 2007-11-15 |
| 1023161478 | Janet Marie Kelley | Family Medicine | 3838 N 1st Ave Ste C, Evansville, IN 47710 | 2007-01-19 |
| 1164594545 | John David Diekmann | Dentist | 625 W Mill Rd, Evansville, IN 47710 | 2006-11-14 |
| 1407930977 | Allan C Knapp Dds LLC | Dentist | 3012 N First Ave, Evansville, IN 47710 | 2006-10-24 |
| Find all providers in zip 47710 | ||||
| Taxonomy Code | 207YX0007X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Plastic Surgery within the Head & Neck |
| An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy is currently provided in the subspecialty of Otolaryngology/Facial Plastic Surgery (see Taxonomy Code 207YX0905X) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437420296 | Enayat K Shirazi | Otolaryngology | 3996 Quail Hill Dr, Richmond, IN 47374-7826 | 2012-01-25 |
| 1376553099 | Steven M Waters | Otolaryngology | 1913 Chester Blvd, Richmond, IN 47374-1212 | 2006-08-08 |
| 1508814740 | Robert Allen Youkilis | Otolaryngology | 12065 Old Meridian, Suite 205, Carmel, IN 46032 | 2006-05-04 |
| 1104120104 | Zormeier Cosmetic Surgery and Longevity Center, LLC | Otolaryngology | 302 Duran Dr, Shelbyville, IN 46176-1986 | 2011-01-05 |
| 1184756074 | W Gregory Chernoff Md PC | Otolaryngology | 9002 N Meridian St, Suite 205, Indianapolis, IN 46260-5381 | 2007-03-09 |
| 1588611537 | Giffin Ent LLC | Otolaryngology | 2516 E Dupont Rd, Fort Wayne, IN 46825-1608 | 2006-05-27 |
| 1326097619 | Richard Moss | Otolaryngology | 721 W 13th St, Suite 208, Jasper, IN 47546-1855 | 2006-05-06 |
| 1508814732 | Robert Wayne Stephens | Otolaryngology | 12065 Old Meridian Street, Suite 205, Carmel, IN 46032 | 2006-05-04 |
| 1396703203 | Scott Andrew Hackett | Otolaryngology | 12065 Old Meridian Street, Suite 205, Carmel, IN 46032 | 2006-05-02 |
| City | EVANSVILLE |
| Zip Code | 47710 |
Please comment or provide details below to improve the information on EDWARD P. DAETWYLER.
| 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.