Individual provider Active NPI

Danny Wayne Gnewikow, PH.D.

  • Audiologist
  • Danville, VA
National Provider Identifier
1255331492
Registry record updated Jul 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
2201000057 Issued in VA
Practice address
743 Main St
Danville, VA 24541-1803
Phone
(434) 799-6288
Fax
(434) 797-3685
NPI assigned
Jul 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 2201000057 VA Primary

Addresses

Primary practice location

743 Main St
Danville, VA 24541-1803

Mailing address

743 Main St
Danville, VA 24541-1803
Phone (434) 799-6288

Other identifiers 6

IdentifierTypeStateIssuer
1255331492MedicaidVA
640000012OtherVAMEDICARE PALMETTO GBA PTAN (AUDIOLOGY HEARING AID ASSOCIATES, INC.)
640002399OtherVAMEDICARE RAILROAD PTAN - DANNY W. GNEWIKOW, PH.D., LLC
1255331492OtherVAANTHEM
640003503OtherVAMEDICARE RAILROAD PTAN - AUDIOLOGY HEARING AID ASSOCIATES, INC.
640915704OtherVAMEDICARE PALMETTO GBA PTAN (DANNY W. GNEWIKOW, PH.D., LLC)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110126000935 VA Practitioner - Qualified Audiologist 3375562481 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Vanderbilt University School of Medicine, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Danny W Gnewikow PH D LLCGroup PAC ID 7618955907, 3 clinicians

Practice addresses (Care Compare)

2104 Langhorne Rd
Lynchburg, VA 24501-1424
Phone (434) 528-4245

743 Main St
Danville, VA 24541-1803
Phone (434) 799-6288

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2201000057VAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Audiology Hearing Aid Associates, Inc. Audiologist CurrentSince May 13, 1986 Accepting new patients
Danny W Gnewikow PH D LLC Audiologist CurrentSince Jun 30, 1981 Accepting new patients

Locations

743 Main St
Danville, VA 24541
Phone (434) 799-6288

2104 Langhorne Rd
Lynchburg, VA 24501
Phone (434) 528-4245

Organizations & group practices 2

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": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437091200000",
    "number": "1255331492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "743 MAIN ST",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245411803",
            "telephone_number": "434-799-6288",
            "fax_number": "434-797-3685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "743 MAIN ST",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245411803",
            "telephone_number": "434-799-6288",
            "fax_number": "434-797-3685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GNEWIKOW",
        "first_name": "DANNY",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2015-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "VA",
            "license": "2201000057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1255331492",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PALMETTO GBA PTAN (AUDIOLOGY HEARING AID ASSOCIATES, INC.)",
            "identifier": "640000012",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD PTAN - DANNY W. GNEWIKOW, PH.D., LLC",
            "identifier": "640002399",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "1255331492",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD PTAN - AUDIOLOGY HEARING AID ASSOCIATES, INC.",
            "identifier": "640003503",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PALMETTO GBA PTAN (DANNY W. GNEWIKOW, PH.D., LLC)",
            "identifier": "640915704",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.