Active NPI
John E. Daniels MD SC
- Pulmonary Disease Physician
- West Allis, WI
National Provider Identifier
1326084880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 42130
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34179000 | Medicaid | WI | |
| DD7357 | Other | RR MEDICARE | |
| 21295900 | Medicaid | WI |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pulmonary Disease Physician
- Sheboygan, WI
- NPI 1255307492
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.