Daniel Matthew Ockner, MD

Primary specialty

Anatomic Pathology PhysicianTaxonomy code 207ZP0101X

License

073095 Issued in MI

Practice address

22151 Moross Road
Sjhmc-Department of Pathology
Grosse Pointe Woods, MI 48236

Phone

(313) 343-3520

Fax

(313) 881-4727

NPI assigned

Aug 18, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Delaware Clinical & Laboratory Physicians, PA

  • Hematology (Internal Medicine) Physician
  • Newark, DE
  • NPI 1558440701
  NPD (past)

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255445441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22151 MOROSS ROAD",
            "address_2": "SJHMC-DEPARTMENT OF PATHOLOGY",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "48236",
            "telephone_number": "313-343-3520",
            "fax_number": "313-881-4727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22151 MOROSS ROAD",
            "address_2": "SJHMC-DEPARTMENT OF PATHOLOGY",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "48236",
            "telephone_number": "313-343-3520",
            "fax_number": "313-881-4727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OCKNER",
        "first_name": "DANIEL",
        "middle_name": "MATTHEW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "MI",
            "license": "073095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4667421",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelah Deonshae Nobles
• Nutrigenomic Medicine PC
• Chioma Nweke, PHARMD
• Melissa Ann O'Keefe, CCC-SLP
• Robert M Obryan, M.D.
• Office 6 PLLC
• Bruce Ogilvy
• Tonya Maria Omozokpia
• Fethi Onal
• Christina Oney, PHD

• Anatomic Pathology Physician in Grosse Pointe Woods, MI
• Providers in Grosse Pointe Woods, MI by specialty
• Anatomic Pathology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.