Individual provider Active NPI

Daniel S Maccurdy, MD

  • Specialist
  • Jupiter, FL
National Provider Identifier
1235163148
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME53053 Issued in FL
Practice address
1002 S Old Dixie Hwy
Suite 101
Jupiter, FL 33458-7202
Phone
(561) 743-3065
Fax
(561) 743-3060
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME53053 FL Primary

Addresses

Primary practice location

1002 S Old Dixie Hwy
Suite 101
Jupiter, FL 33458-7202

Mailing address

1002 S Old Dixie Hwy
Suite 101
Jupiter, FL 33458-7202
Phone (561) 743-3065

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
I20101105001051 FL Practitioner - Obstetrics/Gynecology 5496948085

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Palm City Podiatry, Inc. CurrentSince Mar 6, 2017 Accepting new patients

Locations

210 Jupiter Lakes Blvd
Ste 4102
Jupiter, FL 33458
Phone (561) 626-3338

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213228800000",
    "number": "1235163148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 S OLD DIXIE HWY",
            "address_2": "SUITE 101",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587202",
            "telephone_number": "561-743-3065",
            "fax_number": "561-743-3060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 S OLD DIXIE HWY",
            "address_2": "SUITE 101",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587202",
            "telephone_number": "561-743-3065",
            "fax_number": "561-743-3060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACCURDY",
        "first_name": "DANIEL",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2008-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME53053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

Verify at the official NPI Registry.