Derek McDaniel

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

1729 Ackerman Rd
Harrod, OH 45850-9401

Phone

(419) 601-9098

NPI assigned

Sep 1, 2015

Last updated

Sep 1, 2015By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1441065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441065600000",
    "number": "1083081491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1729 ACKERMAN RD",
            "city": "HARROD",
            "state": "OH",
            "postal_code": "458509401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1729 ACKERMAN RD",
            "city": "HARROD",
            "state": "OH",
            "postal_code": "458509401",
            "telephone_number": "419-601-9098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDANIEL",
        "first_name": "DEREK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-01",
        "last_updated": "2015-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harrod Volunteer Firefighters (Harrod Fire and Rescue)
• Health Partners of Western Ohio (Mustang Health Center)
• Health Partners of Western Ohio (Mustang Health Center)
• Allison R Jones, MSW, LISW-S
• Emily Jo Livingston I
• Tina Marie Roth
• Kelly Salerno, LISW-S, LICDC
• Natalie Sommers
• Shawn Sommers, ED.S
• Westminster Rural Fire Dept Inc

• Athletic Trainer in Harrod, OH
• Providers in Harrod, OH by specialty
• Athletic Trainer in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2015; 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.