Active NPI
Bill Bates Daily Jr., M.D.
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Swansea, IL
National Provider Identifier
1275539140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 036092758
- Practice address
- 9 Park PL
Swansea, IL 62226-2967 - Phone
- (618) 233-5722
- Fax
- (618) 233-7069
- NPI assigned
- Jun 24, 2005
- Last updated
- Aug 6, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 036092758 | IL | Primary |
Addresses
Primary practice location
9 Park PL
Swansea, IL 62226-2967
Mailing address
9 Park PL
Swansea, IL 62226-2967
Phone (618) 233-5722
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R4P78 | Other | MO | LICENSE |
| 102595 | Other | MO | BNDD |
| 036054159 | Other | IL | SUBSTANCE CONTROL |
| 036092758 | Other | IL | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036092758 | IL | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Management Inc | Past | Accepting new patients | |
| Memorial Management Inc | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Swansea, IL
- NPI 1073548608
-
- Durable Medical Equipment & Medical Supplies
- Marion, IL
- NPI 1518423904
-
- Family Medicine Physician
- Marion, IL
- NPI 1720087950
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344211200000",
"number": "1275539140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 PARK PL",
"city": "SWANSEA",
"state": "IL",
"postal_code": "622262967",
"telephone_number": "618-233-5722",
"fax_number": "618-233-7069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 PARK PL",
"city": "SWANSEA",
"state": "IL",
"postal_code": "622262967",
"telephone_number": "618-233-5722",
"fax_number": "618-233-7069"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAILY",
"first_name": "BILL",
"middle_name": "BATES",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-24",
"last_updated": "2012-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "IL",
"license": "036092758",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "R4P78",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BNDD",
"identifier": "102595",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SUBSTANCE CONTROL",
"identifier": "036054159",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "036092758",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Swansea, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.