DR. DANIEL EARL DETRICH (NPI# 1780661793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780661793 |
| Entity Type | Individual |
| Full Name | DR. DANIEL EARL DETRICH |
| Credential | M.D. |
| Practice Address |
215 Wood St Mansfield OH 44903-2260 |
| Mailing Address |
215 Wood St Ohiohealth Surgical Specialists Mansfield OH 44903-2260 |
| Practice Telephone | 4195222833 |
| Practice Fax Number | 4195241619 |
| Mailing Telephone | 4195522833 |
| Enumeration Date | 2005-12-30 |
| Last Update Date | 2015-09-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 35054441 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | ANTHEM | 000000130383 | 01 |
| OH | 0789080 | 05 | |
| OH | RAILROAD MEDICARE | 020011318 | 01 |
| Street Address |
215 WOOD ST |
| City | MANSFIELD |
| State | OH |
| Zip Code | 44903-2260 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740267798 | Antoine Said Munther | Surgery | 215 Wood St, Mansfield, OH 44903-2260 | 2005-12-29 |
| 1578877031 | Jeffrey Joseph Archer | Surgery | 215 Wood St, Mansfield, OH 44903-2260 | 2010-07-27 |
| 1184855298 | Laura E Avery | Surgery | 215 Wood St, Mansfield, OH 44903-2260 | 2009-08-06 |
| 1255511440 | Manjunath Haridas | Surgery | 215 Wood St, Richland Surgical Associates, Mansfield, OH 44903-2260 | 2007-11-06 |
| 1538174388 | Richland Surgical Associates Inc | Specialist | 215 Wood St, Mansfield, OH 44903-2260 | 2006-07-30 |
| 1609801893 | Piyush N. Sheth | Surgery | 215 Wood St, Mansfield, OH 44903-2260 | 2006-07-12 |
| 1891772810 | Anthony Nabil Fahmy | Surgery | 215 Wood St, Mansfield, OH 44903-2260 | 2005-12-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710495304 | Meredith Remy | Specialist/Technologist | 864 St. Rt. 314 S, Mansfield, OH 44903 | 2018-01-17 |
| 1639695174 | Judd Mateo | Home Health Aide | 1027 Neil Circle N., Mansfield, OH 44903 | 2017-08-16 |
| 1942722517 | Leighana Nichole Smith | Licensed Practical Nurse | 1451 Lucas Rd., Mansfield, OH 44903 | 2017-07-14 |
| 1528481710 | Sarah Elizabeth Hoffman | Occupational Therapy Assistant | 1600 Crider Rd., Mansfield, OH 44903 | 2014-01-24 |
| 1881025195 | Erica Renee Hanley | Occupational Therapy Assistant | 1600 Crider Road, Mansfield, OH 44903 | 2013-12-12 |
| 1164768917 | Colette Elaine Germann | Licensed Practical Nurse | 695 Satinwood N Cr, Mansfield, OH 44903 | 2012-12-26 |
| 1386996577 | Nicky Lynn Cole | Home Health Aide | 135 Columbia Avenue, Mansfield, OH 44903 | 2012-10-11 |
| 1215217989 | Darein Lee Wilson | Nurse's Aide | 175 Colonial Drive, Mansfield, OH 44903 | 2011-08-25 |
| 1205070802 | Simone Nannette Robinson | Licensed Practical Nurse | 576 Garfield Place, Mansfield, OH 44903 | 2009-04-27 |
| 1659518991 | Amelia Faye Johnson Grund | Nurse Practitioner | 336 Glessner Ave, Mob 2nd Fl, Mansfield, OH 44903 | 2009-01-08 |
| Find all providers in zip 44903 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609334994 | Premier Doc Assist, Pllc | Surgery | 3540 E. Broad St, Ste 120 Pmb 194, Mansfield, TX 76063 | 2019-03-06 |
| 1285009803 | Kendall Polk | Surgery | 205 Crenshaw Dr, Mansfield, TX 76063-3451 | 2015-12-08 |
| 1912346024 | Niraj Badhiwala | Surgery | 309 Regency Pkwy Ste 103, Mansfield, TX 76063-5165 | 2013-06-21 |
| 1154656460 | James Bruce Jackson | Surgery | 2004 Lexington Ave, Mansfield, OH 44907-3024 | 2009-10-05 |
| 1801087093 | Daniel Esteban Lopez | Surgery | 5 Addison Ct, Mansfield, TX 76063-5511 | 2007-08-05 |
| 1760684195 | Joshua Kyle Trussell | Surgery | 2800 E Broad Street, Suite 304, Mansfield, TX 76063-6412 | 2007-06-05 |
| 1902007917 | Garish Kurian Alexander | Surgery | 2975 E Broad St Ste 200, Mansfield, TX 76063-9147 | 2007-05-29 |
| 1851509145 | Uzoma Ben Gbulie | Surgery | 1021 Matlock Rd Ste 103, Mansfield, TX 76063-3443 | 2007-05-18 |
| 1376577304 | Douglas Clayton Sawyer | Surgery | 119 Jefferson St, Mansfield, LA 71052 | 2006-07-10 |
| 1851333785 | Michael L Thornton | Surgery | 1301 E Debbie Ln, Ste 102-318, Mansfield, TX 76063-3305 | 2006-06-12 |
| Find all providers in MANSFIELD | ||||
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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.