Jerry Daniel, MD, Mba, PA

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

N3000 Issued in TX

Legal business name

JERRY DANIEL, MD, MBA, PA

Practice address

4020 McEwen Rd
Suite 177
Farmers Branch, TX 75244-5019

Phone

(817) 334-0530

NPI assigned

Jul 14, 2014

Last updated

Jul 14, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jerry Daniel, MDNPI 1326296310

Title

President

Phone

(281) 975-7818

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jerry Daniel, M.D.

  • Anesthesiology Physician
  • Plano, TX
  • NPI 1326296310
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1405296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405296000000",
    "number": "1275940058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 702097",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753702097",
            "telephone_number": "817-334-0530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 MCEWEN RD",
            "address_2": "SUITE 177",
            "city": "FARMERS BRANCH",
            "state": "TX",
            "postal_code": "752445019",
            "telephone_number": "817-334-0530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERRY DANIEL, MD, MBA, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-14",
        "last_updated": "2014-07-14",
        "status": "A",
        "authorized_official_last_name": "DANIEL",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-975-7818",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "N3000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• JCSD Emergency Medical Group Inc (MedicOne Medical Response)
• Janis Allene Jelnick, BCTMB, LMT
• Melvinisha Jenkins, LPN
• J'Dionne Joi Jennings
• Jensen Diagnostic & Treatment Center
• John R Sykes MD PA
• Camara Davis Johnson, APRN, FNP-BC
• Homer Johnson III, D.C.
• Jilleah Johnson
• Kristy M. Johnson, B.A.S.

• Anesthesiology Physician in Farmers Branch, TX
• Providers in Farmers Branch, TX by specialty
• Anesthesiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.