BRADLY MCDANIEL


Address: 799 S Main St, Lima, OH 45804-1519
Phone: 4192292222

BRADLY MCDANIEL (NPI# 1730667619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730667619
Entity Type Individual
Full Name BRADLY MCDANIEL
Practice Address 799 S Main St
Lima
OH 45804-1519
Mailing Address 5982 Rhodes Rd
Kent
OH 44240-8100
Practice Telephone 4192292222
Mailing Telephone 3306731347
Mailing Fax Number 3306783677
Enumeration Date 2018-08-01
Last Update Date 2018-08-01
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 175T00000X Peer Specialist Other Service Providers

Office Location

Street Address 799 S MAIN ST
City LIMA
State OH
Zip Code 45804-1519

Providers in the same location

NPI Name Taxonomy Address Enumeration
1376767228 Wendy L Bauer Registered Nurse 799 S Main St, Lima, OH 45804-1519 2007-04-12
1174130363 Mary Jalene Terry Registered Nurse 799 S Main St, Lima, OH 45804-1519 2020-09-30
1821608100 Lauren Paton Pharmacist 799 S Main St, Lima, OH 45804-1519 2020-08-03
1609492461 Alexis S Hilyard Social Worker 799 S Main St, Lima, OH 45804-1519 2020-06-17
1841826542 Mallory Ann Wildermuth Social Worker 799 S Main St, Lima, OH 45804-1519 2020-03-14
1093349409 Kimberly Ann Williams Licensed Practical Nurse 799 S Main St, Lima, OH 45804-1519 2020-02-24
1013553270 Destinee Ricale Bridges Case Manager/Care Coordinator 799 S Main St, Lima, OH 45804-1519 2019-11-22
1598308058 Wlliam Edward Slaise Jr. Case Manager/Care Coordinator 799 S Main St, Lima, OH 45804-1519 2019-10-28
1093356438 Morgan Brittny Morton Social Worker 799 S Main St, Lima, OH 45804-1519 2019-10-07
1124674882 Amonte Jayveon Glenn Case Manager/Care Coordinator 799 S Main St, Lima, OH 45804-1519 2019-08-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134729817 Luke Holliday Pharmacist Sams Club Pharmacy, 1150 Greely Chapel Rd, Lima, OH 45804 2020-10-30
1306482393 Olympia Monik Johnson Case Manager/Care Coordinator 799 S. Main St, Lima, OH 45804 2019-11-25
1982260139 Jenna Renee Warnecke Speech-Language Pathologist Shawnee Manor, 2535 Fort Amanda Rd, Lima, OH 45804 2019-05-14
1942728282 Premier Care of Ohio, LLC. Community/Behavioral Health 2727 St. Johns Rd, Ste D, Lima, OH 45804 2017-09-07
1093250078 Gevette Love Counselor 311 E. Market St., Lima, OH 45804 2016-12-29
1134595416 Rewa A Banks Nurse Practitioner 2895 Harding Hwy Ste C, Lima, OH 45804 2015-08-20
1295148195 Adaptive Medical Marketing, Inc Durable Medical Equipment & Medical Supplies 1378 Bellefontaine Ave, Lima, OH 45804 2014-06-09
1265771869 Laura B Hile Nurse Practitioner 1875 South Dixie Highway, Lima, OH 45804 2013-02-04
1184960593 Jenna L Kimmel Nurse Practitioner 799 S. Main St., Lima, OH 45804 2012-12-13
1437398054 Champaign Residential Services, Inc. Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 2450 Mandolin Drive, Lima, OH 45804 2009-02-05
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Taxonomy Information

Taxonomy Code 175T00000X
Grouping Other Service Providers
Classification Peer Specialist

Taxonomy Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Notes: Source: National Uniform Claim Committee [7/1/2014: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073002739 Pamela Ann Bricker Peer Specialist 136 S West St, Lima, OH 45801-4851 2018-05-08
1508334285 Natasha Nicole Salazar Peer Specialist 799 S Main St, Lima, OH 45804-1519 2018-11-11
1508333543 Joseph Edward Schulze Peer Specialist 799 S Main St, Lima, OH 45804-1519 2018-10-29
1144713686 Heather Lyndsie Ruble Peer Specialist 799 S Main St, Lima, OH 45804-1519 2018-06-09
1427555770 Suzanne Vasquez Peer Specialist 311 E Market St, Lima, OH 45801-4535 2018-04-11
1093218505 Philip Amstutz Bowers Peer Specialist 529 S Elizabeth St, Lima, OH 45804-1213 2018-03-10
1710488267 Charles Oen Peer Specialist 799 S Main St, Lima, OH 45804-1519 2018-02-21
1518466192 Sara Jean Hollar Peer Specialist 799 S Main St, Lima, OH 45804-1519 2018-02-08
1578062311 Lisa Michell Ashafa Peer Specialist 799 S Main St, Lima, OH 45804-1519 2018-02-07
1255830097 Janis Arlene Mulcahy Peer Specialist 799 S Main St, Lima, OH 45804-1519 2018-02-07
Find all providers in LIMA

Competitor

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City LIMA
Zip Code 45804

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Dataset Information

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.

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