Gerald H McDaniel, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

R539686 Issued in MS

Practice address

1646 Lower Centreville Rd
Centreville, MS 39631-4518

Phone

(601) 645-5473

NPI assigned

Jun 23, 2006

Last updated

May 1, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367366400000",
    "number": "1063448850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1646 LOWER CENTREVILLE RD",
            "city": "CENTREVILLE",
            "state": "MS",
            "postal_code": "396314518",
            "telephone_number": "601-645-5473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1646 LOWER CENTREVILLE RD",
            "city": "CENTREVILLE",
            "state": "MS",
            "postal_code": "396314518",
            "telephone_number": "601-645-5473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDANIEL",
        "first_name": "GERALD",
        "middle_name": "H",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2013-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MS",
            "license": "R539686",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00110285",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00245327",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James L. Jelks Jr., R. PH.
• Caroline Agatha Lobrano
• Thomas E Lobrano Sr., DDS
• Samantha Magee, FNP
• Amber Watson Malone
• Aubriana R. McFarland, SLP
• Ricardo Nimo, MD
• RCG Mississippi, Inc. (Renal Care Group Centreville)
• Charles Gerald Rymer, R.PH.
• Jacqueline Benoit Schott, LCSW

• Certified Registered Nurse Anesthetist in Centreville, MS
• Providers in Centreville, MS by specialty
• Certified Registered Nurse Anesthetist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.