Individual provider Active NPI

Naser Danan, MD

  • Pediatrics Physician
  • Willoughby, OH
National Provider Identifier
1447349287
Registry record updated Dec 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35062991D Issued in OH
Practice address
4212 State Route 306 Ste 304
Willoughby, OH 44094-9248
Phone
(440) 946-7391
Fax
(440) 946-7594
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 35062991D OH Primary

Addresses

Primary practice location

4212 State Route 306 Ste 304
Willoughby, OH 44094-9248

Mailing address

PO Box 8792
Belfast, ME 04915-8792
Phone (440) 946-7391

Other identifiers 1

IdentifierTypeStateIssuer
0885396MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address naserdanan@uhps.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35062991DOHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Hospitals Medical Practices Inc Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ndanan37797@ehrdirect.uhhospitals.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607817600000",
    "number": "1447349287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8792",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049158792",
            "telephone_number": "440-946-7391",
            "fax_number": "440-946-7594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4212 STATE ROUTE 306 STE 304",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440949248",
            "telephone_number": "440-946-7391",
            "fax_number": "440-946-7594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANAN",
        "first_name": "NASER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2020-12-13",
        "certification_date": "2020-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35062991D",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0885396",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "naserdanan@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "4212 State Route 306 Ste 304",
            "city": "Willoughby",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440949248",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Willoughby, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2020; 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.