Daryl W List, D.O.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

OS003985L Issued in PA

Practice address

239 Edgewood Dr
Transfer, PA 16154-1817

Phone

(724) 646-0400

Fax

(724) 646-0413

NPI assigned

Nov 22, 2005

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

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

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.

• D&R Pain Management Inc.

  • Anesthesiology Physician
  • Transfer, PA
  • NPI 1679582738

  Anesthesiology, PA

  Medicare reassignment NPD

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327449600000",
    "number": "1093798282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1088",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161480088",
            "telephone_number": "706-660-8505",
            "fax_number": "706-660-9390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 EDGEWOOD DR",
            "city": "TRANSFER",
            "state": "PA",
            "postal_code": "161541817",
            "telephone_number": "724-646-0400",
            "fax_number": "724-646-0413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIST",
        "first_name": "DARYL",
        "middle_name": "W",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2012-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "OS003985L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000856690 0009",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101208491 0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emery Leroy Johnson Jr.
• Zachary Johnson, PHARMD
• Steven Jordan
• James J Kolenich, MD
• Tammy Harris Lantz, RN
• Robin Deen Molaskey, D.O.
• Nystrom and Eckard
• Joel Erik Nystrom, M.D.
• Primary Health Network
• Primary Health Network

• All providers in Transfer, PA
• Anesthesiology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.