Daniel L Syverson, DPM

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

014004040 Issued in IL

Practice address

11320 Main St
Suite 311
Roscoe, IL 61073-4612

Phone

(815) 389-8088

Fax

(815) 389-3431

NPI assigned

Dec 8, 2006

Sex

Male

Sole proprietor

Yes

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: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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.

• Autumn Home Care of Naperville, Inc

  dba Autumn Home Care

  • Home Health Agency
  • Rockford, IL
  • NPI 1750521118
  NPD (past)
• Jet Healthcare LLC

  • Nurse Practitioner
  • Rockford, IL
  • NPI 1265052401
  NPD (past)
• Milestone, Inc.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Loves Park, IL
  • NPI 1710053046
  NPD (past)
• Mosaic

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Rockford, IL
  • NPI 1336291343
  NPD (past)
• Preferred Podiatry Group PC

  • Podiatrist
  • Oak Harbor, WA
  • NPI 1720037138
  NPD (past)

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359417600000",
    "number": "1336208842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 311",
            "city": "ROSCOE",
            "state": "IL",
            "postal_code": "610730311",
            "telephone_number": "815-389-8088",
            "fax_number": "815-389-3431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11320 MAIN ST",
            "address_2": "SUITE 311",
            "city": "ROSCOE",
            "state": "IL",
            "postal_code": "610734612",
            "telephone_number": "815-389-8088",
            "fax_number": "815-389-3431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYVERSON",
        "first_name": "DANIEL",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2013-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "IL",
            "license": "014004040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016004040",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rosemary Svihlik
• Swedishamerican Hospital
• Swedishamerican Hospital
• Swedishamerican Hospital
• Swedishamerican Hospital Association
• Jacob Tanker, PHARM D
• Jane Taylor, MD
• Teensy Talkers LLC
• Tempo Counseling Services
• Mariah Anne Thompson, MFT-IT

• Primary Podiatric Medicine Podiatrist in Roscoe, IL
• Providers in Roscoe, IL by specialty
• Primary Podiatric Medicine Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2013; 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.