Regina L McDaniels, MD, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

34004 Issued in KY

Legal business name

REGINA L MCDANIELS, MD, PLLC

Practice address

370 Highland Park Dr
Suite 2
Richmond, KY 40475-3546

Phone

(859) 626-0627

Fax

(859) 626-0114

NPI assigned

Nov 8, 2007

Organization subpart

No

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

Authorized official

Name

Regina Lynn McDaniels, M.D.

Title

Operating Manager / Owner

Phone

(859) 626-0627

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194480000000",
    "number": "1356521223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 HIGHLAND PARK DR",
            "address_2": "SUITE 2",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404753546",
            "telephone_number": "859-626-0627",
            "fax_number": "859-626-0114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 HIGHLAND PARK DR",
            "address_2": "SUITE 2",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404753546",
            "telephone_number": "859-626-0627",
            "fax_number": "859-626-0114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGINA L MCDANIELS, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-08",
        "last_updated": "2007-11-08",
        "status": "A",
        "authorized_official_last_name": "MCDANIELS",
        "authorized_official_first_name": "REGINA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OPERATING MANAGER / OWNER",
        "authorized_official_telephone_number": "859-626-0627",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "34004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64050768",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Richmond, KY
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.