Individual provider Active NPI

Daniel C McDyer, MD

  • Obstetrics & Gynecology Physician
  • Jacksonville, FL
National Provider Identifier
1184617839
Registry record updated Mar 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME0061345 Issued in FL
Practice address
3627 University Blvd S
Ste 340
Jacksonville, FL 32216-4294
Phone
(904) 396-3518
Fax
(904) 398-5066
NPI assigned
Aug 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2014

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 ME0061345 FL Primary

Addresses

Primary practice location

3627 University Blvd S
Ste 340
Jacksonville, FL 32216-4294

Mailing address

3627 University Blvd S
Ste 340
Jacksonville, FL 32216-4294
Phone (904) 396-3518

Other identifiers 1

IdentifierTypeStateIssuer
375661100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20100802000992 FL Practitioner - Obstetrics/Gynecology 0547393274 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of South Florida College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Woman Care LLCGroup PAC ID 5395807218, 607 clinicians

Practice addresses (Care Compare)

4788 Hodges Blvd
Suite 103
Jacksonville, FL 32224-7223
Phone (904) 423-2517

Hospital & facility affiliations

  • HCA Florida Memorial Hospital Hospital, Jacksonville, FL, CCN 100179
  • Baptist Health Medical Center - Jacksonville Hospital, Jacksonville, FL, CCN 100088

Merit-based Incentive Payment System (MIPS)

Final score
88.76 of 100Reported as group
Quality
84.84
Promoting interoperability
100
Improvement activities
40
Cost
77.7

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0061345FLMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
OB Hospitalist Group LLC Obstetrics & Gynecology Current Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince Sep 12, 2018 Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince Sep 12, 2018 Accepting new patients
Florida Woman Care, LLC Obstetrics & Gynecology CurrentSince Aug 1, 2010 Accepting new patients
Womencare PA PastSince Aug 1, 2010 Accepting new patients

Locations

2815 S Seacrest Blvd
Ste 112
Boynton Beach, FL 33435
Phone (561) 368-0233

4788 Hodges Blvd
Ste 103
Jacksonville, FL 32224
Phone (904) 423-2517

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

3627 University Blvd S
Ste 340
Jacksonville, FL 32216
Phone (904) 396-3518

8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960

18450 US Highway 441
#C
Mount Dora, FL 32757
Phone (352) 383-4966

3000 Hunters Creek Blvd
Orlando, FL 32837
Phone (407) 337-8814

13001 State Road 80
Westlake, FL 33470
Phone (561) 793-3300

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: daniel.mcdyer.1@2183.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1125273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396224000000",
    "number": "1184617839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3627 UNIVERSITY BLVD S",
            "address_2": "STE 340",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164294",
            "telephone_number": "904-396-3518",
            "fax_number": "904-398-5066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3627 UNIVERSITY BLVD S",
            "address_2": "STE 340",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164294",
            "telephone_number": "904-396-3518",
            "fax_number": "904-398-5066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDYER",
        "first_name": "DANIEL",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-29",
        "last_updated": "2014-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME0061345",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "375661100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.