Daniel R Yanicko Jr MD PA

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

C1-0008111 Issued in DE

Legal business name

DANIEL R YANICKO JR MD PA

Practice address

465 Pine St
Somerset, KY 42503-4310

Phone

(302) 236-1894

NPI assigned

Oct 3, 2006

Organization subpart

No

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

Authorized official

Name

Daniel R Yanicko Jr., M.D.NPI 1598731796

Title

President -- Orthopaedic Surgeon

Phone

(302) 236-1894

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Seaford Orthopedic Center Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel Robert Yanicko Jr., MD

  • Orthopaedic Surgery Physician
  • Somerset, KY
  • NPI 1598731796
  NPD (past) Authorized official

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337644800000",
    "number": "1134213960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 PINE ST",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425034310",
            "telephone_number": "302-236-1894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 PINE ST",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425034310",
            "telephone_number": "302-236-1894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL R YANICKO JR MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2012-05-22",
        "status": "A",
        "authorized_official_last_name": "YANICKO",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT -- ORTHOPAEDIC SURGEON",
        "authorized_official_telephone_number": "302-236-1894",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "DE",
            "license": "C1-0008111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000041262",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seaford Orthopedic Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Custom Case Management Inc
• Cassandra Rachelle Dalton
• Rachel Elizabeth Dalton
• Randall Elliott Dalton, MD
• Daniel J Brummett DMD LLC
• Latisha R Daniel, LPCC
• Tracy Tescha Daniels, APRN
• William K. Daniels Jr., MD
• Colleen Marie Daris, CAREGIVER
• Darrell Bartley Jr., DMD, PSC

• Orthopaedic Surgery Physician in Somerset, KY
• Providers in Somerset, KY by specialty
• Orthopaedic Surgery Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2012; 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.