DR. JERRY HAYES MCDANIEL (NPI# 1750374849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750374849 |
| Entity Type | Individual |
| Full Name | DR. JERRY HAYES MCDANIEL |
| Credential | M.D. |
| Practice Address |
375 Glensprings Dr Suite 410 Cincinnati OH 45246-2316 |
| Practice Telephone | 5138516500 |
| Practice Fax Number | 5138516502 |
| Mailing Telephone | 5138516500 |
| Mailing Fax Number | 5138516502 |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2015-03-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 35047141 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 3153242 | 05 | |
| OH | 0489921 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720131550 | Jerry L Mcdaniel | Contractor | 481 Dixie Road, Salters, SC 29590 | 2007-01-18 |
| 1316562812 | Jerry F Mcdaniel | Counselor | 101 Gough St, San Francisco, CA 94102-5903 | 2020-06-10 |
| Street Address |
375 GLENSPRINGS DR SUITE 410 |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45246-2316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578993572 | Farrellco, Inc. | Psychologist | 375 Glensprings Dr, Suite 300, Cincinnati, OH 45246-2316 | 2013-11-13 |
| 1922437094 | Michael T. Farrell, Phd & Associates | Psychologist | 375 Glensprings Dr, Suite 300, Cincinnati, OH 45246-2316 | 2013-11-08 |
| 1902191745 | Darrin L Elkins | Counselor | 375 Glensprings Dr, Suite 300, Cincinnati, OH 45246-2316 | 2011-06-09 |
| 1356636195 | Kathryn M Roeding | Counselor | 375 Glensprings Dr, Suite 300, Cincinnati, OH 45246-2316 | 2011-06-09 |
| 1891089983 | Dr. Jerry H. Mcdaniel, Md, Inc | Clinic/Center | 375 Glensprings Dr, Suite 410, Cincinnati, OH 45246-2316 | 2011-06-06 |
| 1992979074 | Kevin James Willmarth | Psychologist | 375 Glensprings Dr, Suite 300, Cincinnati, OH 45246-2316 | 2008-04-18 |
| 1639100811 | Michael T Farrell | Psychologist | 375 Glensprings Dr, Suite 300, Cincinnati, OH 45246-2316 | 2006-07-05 |
| 1619908894 | Jennifer J Stoeckel | Psychologist | 375 Glensprings Dr, Suite 300, Cincinnati, OH 45246-2316 | 2006-07-05 |
| 1124059324 | Dennis Joel Schneider | Psychologist | 375 Glensprings Dr, Suite 300, Cincinnati, OH 45246-2316 | 2006-07-05 |
| 1104854819 | Farrellco, Inc. | Psychologist | 375 Glensprings Dr, Suite 300, Cincinnati, OH 45246-2316 | 2006-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033766241 | Stephanie Ann Hayes | Counselor | 42 East Crescentville Drive, Cincinnati, OH 45246 | 2019-08-22 |
| 1689228132 | Jessica D Mandich | Social Worker | 415 Glensprings Drive Suite 201, Cincinnati, OH 45246 | 2019-08-01 |
| 1649832338 | Combine Home Care | Home Health | 260 Northland Blvd Ste 234, Cincinnati, OH 45246 | 2019-07-02 |
| 1215593488 | Premier Care of Ohio, LLC. | Clinic/Center | 42 E Crescentville Road, Cincinnati, OH 45246 | 2019-05-14 |
| 1295205276 | Emmanuel Bio Antwi | Adult Companion | 230 Northland Blvd Suite 112, Cincinnati, OH 45246 | 2018-12-03 |
| 1225567506 | Rebecca J Travis | Case Manager/Care Coordinator | 11590 Century Blvd Suite 116, Cincinnati, OH 45246 | 2017-06-08 |
| 1245770320 | Tiffany Burton | Behavior Technician | 11789 Rose Lane, Cincinnati, OH 45246 | 2017-03-08 |
| 1306207964 | Adriana Harris | Home Health Aide | 270 Northland Blvd Ste 112, Springdale, OH 45246 | 2016-03-10 |
| 1891124251 | Leslie Ann Cooper | Social Worker | 316 Cleveland Avenue, Cincinnati, OH 45246 | 2013-11-06 |
| 1144564071 | Premier Care of Ohio, Inc. | Community/Behavioral Health | 42 E. Crescentville Road, West Chester, OH 45246 | 2012-11-15 |
| Find all providers in zip 45246 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205366994 | Desiree Monique Jones-rubin | Pediatrics | 3333 Burnet Ave # Mlc3008, Cincinnati, OH 45229-3026 | 2017-06-14 |
| 1316478308 | Amanda Warniment | Pediatrics | 3333 Burnet Ave # Ml2008, Cincinnati, OH 45229-3026 | 2017-03-22 |
| 1295184075 | Ian Frederick Slack | Pediatrics | 3333 Burnet Ave # Mlc2000, Cincinnati, OH 45229-3026 | 2016-06-13 |
| 1336595917 | Abbie Rose Goodman | Pediatrics | 3333 Burnet Ave Ml 9016, Cincinnati, OH 45229-3026 | 2016-05-12 |
| 1467807321 | Bijan Ketabchi | Pediatrics | 3333 Burnet Ave. Ml2008, Cincinnati, OH 45229-3026 | 2016-04-28 |
| 1639523681 | Matthew Taylor Coghill | Pediatrics | 3333 Burmet Ave, Mlc 2003, Cincinnati, OH 45229-3026 | 2016-04-15 |
| 1124481635 | Kimberley Nicole Sikora | Pediatrics | 3430 Burnet Ave Ofc Bldg2nd, Cincinnati, OH 45229-2833 | 2016-04-01 |
| 1609238773 | Courtney Marie Sumner | Pediatrics | 3430 Burnet Ave, Medical Office Building 2nd Floor, Ml 5026, Cincinnati, OH 45229-3026 | 2016-03-28 |
| 1134504210 | Barbara Kenney | Pediatrics | 1022 Legendwood Ln, Cincinnati, OH 45245-3077 | 2015-07-30 |
| 1205216223 | John Joseph Erickson | Pediatrics | 3333 Burnet Ave Fl 11580af, Cincinnati, OH 45229-3026 | 2015-06-04 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45246 |
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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.