Daniel J Mianecki, D.O.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

5101005939 Issued in MI

Practice address

6245 Inkster Rd
Garden City, MI 48135-4001

Phone

(734) 458-3412

Fax

(734) 677-7407

NPI assigned

Jul 19, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy

Practice roles

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.

• Prime Garden City Medical Group

  • Internal Medicine Physician
  • Garden City, MI
  • NPI 1598179954
  NPD (past)
• Southfield Radiology Associates PLLC

  • Diagnostic Radiology Physician
  • Southfield, MI
  • NPI 1871525915
  NPD (past)
• Southfield Radiology Associates, PLLC

  • Diagnostic Radiology Physician
  • Garden City, MI
  • NPI 1831103670
  NPD (past)

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427077304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1108",
            "address_2": "ATTN: LYNDA THOMPSON",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481061108",
            "telephone_number": "734-677-7400",
            "fax_number": "734-677-7407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6245 INKSTER RD",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481354001",
            "telephone_number": "734-458-3412",
            "fax_number": "734-677-7407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIANECKI",
        "first_name": "DANIEL",
        "middle_name": "J",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "5101005939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN #",
            "identifier": "3158226625",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4441569",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Medsource Direct, Inc.
• Mend Rehab Inc (Mend Rehab)
• Dylan Mercury, D.O.
• Robert Merliss, DO
• Mi Pharmacy LLC
• Michael R. Reich, D.D.S., P.C.
• Michael S. Sherman, DO, PC (Physican Eye Care Associates)
• Michigan Chiropractic Specialists, P.C.
• Michigan Pain&Spine Clinic PLLC
• Michigan Wellness and Injury Center

• Diagnostic Radiology Physician in Garden City, MI
• Providers in Garden City, MI by specialty
• Diagnostic Radiology Physician in Michigan

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