Individual provider Active NPI

Lloyd B Daniels, MD

  • Obstetrics & Gynecology Physician
  • Aiken, SC
National Provider Identifier
1124079280
Registry record updated Apr 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
8182 Issued in SC
Practice address
80 Physician Dr
Aiken, SC 29801-6388
Phone
(803) 649-4117
Fax
(803) 649-7335
NPI assigned
May 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 8182 SC Primary

Addresses

Primary practice location

80 Physician Dr
Aiken, SC 29801-6388

Mailing address

80 Physician Dr
Aiken, SC 29801-6388
Phone (803) 649-4117

Other identifiers 2

IdentifierTypeStateIssuer
081823MedicaidSC
PC0245MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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

Enrollment IDStateProvider typePAC IDDetails
I20100830000718 SC Practitioner - Obstetrics/Gynecology 6608882832 Practice locations: Aiken, SC

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
8182SCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Lloyd B. Daniels Obstetrics & Gynecology PastSince Dec 16, 1996 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1147478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208217600000",
    "number": "1124079280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 PHYSICIAN DR",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298016388",
            "telephone_number": "803-649-4117",
            "fax_number": "803-649-7335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 PHYSICIAN DR",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298016388",
            "telephone_number": "803-649-4117",
            "fax_number": "803-649-7335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "LLOYD",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-13",
        "last_updated": "2008-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "SC",
            "license": "8182",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "081823",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PC0245",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiken, SC

Sources for this page

Verify at the official NPI Registry.