Daniel J Dwyer, MD

Individual provider Active NPI Family Medicine Physician · Rockville, IN

NPI 1013906296 · NPPES record last updated Feb 20, 2008

Key facts

NPI: 1013906296
Entity type: Individual (NPI type 1)
Primary specialty: Family Medicine Physician 207Q00000X
License: 01025335A (IN)
Practice address: 111 W High St
Rockville, IN 47872-1735
Phone: (765) 569-2057
Fax: (765) 569-2340
NPI assigned: Oct 19, 2005
Sex: Male
Sole proprietor: No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Major Hospital General Acute Care Hospital · Shelbyville, IN · NPI 1174555692

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Doctor of Medicine

State licenses

License	State	Type	Specialty
01025335A	IN	MD	Family Medicine Physician

Practice roles

Organization	Specialty	Status	New patients
Major Hospital		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Family Medicine Physician	207Q00000X	01025335A	IN	Yes

Addresses

Primary practice location

111 W High St
Rockville, IN 47872-1735

Mailing address

111 W High St
Rockville, IN 47872-1735
Phone (765) 569-2057

Other providers in Rockville, IN

All providers in Rockville, IN · Family Medicine Physician in Indiana

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 20, 2008. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.