Individual provider Active NPI

Daniel Netherton, PA-C

  • Physician Assistant
  • Newberry, MI
National Provider Identifier
1346763398
Registry record updated Jul 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601008305 Issued in MI
Practice address
502 W Harrie St
Newberry, MI 49868-1209
Phone
(906) 293-9200
NPI assigned
Jul 21, 2017
Last updated
Jul 21, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601008305 MI Primary

Addresses

Primary practice location

502 W Harrie St
Newberry, MI 49868-1209

Mailing address

8299 Roberts Rd
Gregory, MI 48137-9527

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170928002813 MI Practitioner - Physician Assistant 2365717469 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Helen Newberry Joy HospitalGroup PAC ID 5799671285, shared by 7 NPIs, 36 clinicians

Practice addresses (Care Compare)

502 W Harrie St
Newberry, MI 49868-1209
Phone (906) 293-9200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Helen Newberry Joy Hospital & Healthcare Center CurrentSince Aug 23, 2017 Accepting new patients
Helen Newberry Joy Hospital & Healthcare Center CurrentSince Sep 1, 2025 Accepting new patients
Helen Newberry Joy Hospital & Healthcare Center CurrentSince Aug 23, 2017 Accepting new patients
Helen Newberry Joy Hospital & Healthcare Center Past Accepting new patients

Locations

502 W Harrie St
Newberry, MI 49868
Phone (906) 293-9131

Interoperability endpoints

  • Direct secure messaging: dnetherton128976@mymichiganhealth.midirect.net

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1500595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500595200000",
    "number": "1346763398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8299 ROBERTS RD",
            "city": "GREGORY",
            "state": "MI",
            "postal_code": "481379527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 W HARRIE ST",
            "city": "NEWBERRY",
            "state": "MI",
            "postal_code": "498681209",
            "telephone_number": "906-293-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NETHERTON",
        "first_name": "DANIEL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-21",
        "last_updated": "2017-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601008305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newberry, MI

Sources for this page

Verify at the official NPI Registry.