Michael D McDaniels, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

GO477 Issued in TX

Practice address

9505 Chaparral LN
Shreveport, LA 71118-4307

Phone

(318) 687-6894

Fax

(318) 687-6894

NPI assigned

May 22, 2007

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

Other names 1

• Dr. Michael D McDaniels Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1356550677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9505 CHAPARRAL LN",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711184307",
            "telephone_number": "318-687-6894",
            "fax_number": "318-687-6894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9505 CHAPARRAL LN",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711184307",
            "telephone_number": "318-687-6894",
            "fax_number": "318-687-6894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDANIELS",
        "first_name": "MICHAEL",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "GO477",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL LICENSE NUM",
            "identifier": "GO477",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHAEL",
            "last_name": "MCDANIELS",
            "middle_name": "D",
            "prefix": "DR.",
            "credential": "D.O.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Sherri David McCurry, RPH
• Janine L. McDade, PT
• Brenda McDaniel
• Crystal Lynne Goodrich McDaniel, RN, MSN, FNP
• Lester Earl McDaniel Sr., MHS BS-ED
• Adriane McDonald
• Cara McDonald
• Fredrick McDonald
• James Nicholas McDonald, MD
• Maxwell C McDonald III, MD

• Family Medicine Physician in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.