Organization Active NPI

John E. Daniels MD SC

  • Pulmonary Disease Physician
  • West Allis, WI
National Provider Identifier
1326084880
Registry record updated Oct 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
42130 Issued in WI
Legal business name
JOHN E. DANIELS MD SC
Practice address
10201 W Lincoln Ave
Suite 100
West Allis, WI 53227-2136
Phone
(414) 328-8798
NPI assigned
Jun 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2007

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

Authorized official

Name
John E Daniels, MD
Title
President
Phone
(414) 328-8798

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X 42130 WI Primary

Addresses

Primary practice location

10201 W Lincoln Ave
Suite 100
West Allis, WI 53227-2136

Mailing address

10201 W Lincoln Ave
Suite 100
West Allis, WI 53227-2136
Phone (414) 328-8798

Other identifiers 3

IdentifierTypeStateIssuer
34179000MedicaidWI
DD7357OtherRR MEDICARE
21295900MedicaidWI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193097600000",
    "number": "1326084880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10201 W LINCOLN AVE",
            "address_2": "SUITE 100",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532272136",
            "telephone_number": "414-328-8798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10201 W LINCOLN AVE",
            "address_2": "SUITE 100",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532272136",
            "telephone_number": "414-328-8798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN E. DANIELS MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2007-10-23",
        "status": "A",
        "authorized_official_last_name": "DANIELS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-328-8798",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "WI",
            "license": "42130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34179000",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DD7357",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21295900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Allis, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.