Timothy Peter Daniel (NPI# 1538635255, PAC ID# 1658611694) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1538635255 |
PAC ID by PECOS | 1658611694 |
Professional Enrollment ID | I20190328002851 |
Full Name | Timothy Peter Daniel |
Address |
64 A Jones Mill Rd Woodbury GA 30293-2678 |
Gender | M |
Medical School | UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE |
Graduation Year | 2018 |
Primary Specialty | NURSE PRACTITIONER |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
111316 | WARM SPRINGS MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
64 A Jones Mill Rd, Woodbury, GA 30293-2678 |
Street Address |
64 A JONES MILL RD |
City | WOODBURY |
State | GA |
Zip | 30293-2678 |
City | WOODBURY |
Zip Code | 30293 |
Specialty | NURSE PRACTITIONER |
City + Specialty | WOODBURY + NURSE PRACTITIONER |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.