Organization Active NPI

Warren a Daniel, Jr MD, AMC

  • Family Medicine Physician
  • West Monroe, LA
National Provider Identifier
1518091693
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
010670 Issued in LA
Legal business name
WARREN A DANIEL, JR MD, AMC
Practice address
101 Professional Dr
West Monroe, LA 71291-8309
Phone
(318) 387-5244
Fax
(318) 387-5246
NPI assigned
Mar 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Warren A Daniel Jr., M.D.
Title
President
Phone
(318) 387-5244

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 010670 LA Primary

Addresses

Primary practice location

101 Professional Dr
West Monroe, LA 71291-8309

Mailing address

101 Professional Dr
West Monroe, LA 71291-8309
Phone (318) 387-5244

Other identifiers 1

IdentifierTypeStateIssuer
1120570MedicaidLA

National Provider Directory

National Provider Directory

Locations

101 Professional Dr
West Monroe, LA 71291
Phone (318) 387-5244

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1518091693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 PROFESSIONAL DR",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712918309",
            "telephone_number": "318-387-5244",
            "fax_number": "318-387-5246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 PROFESSIONAL DR",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712918309",
            "telephone_number": "318-387-5244",
            "fax_number": "318-387-5246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARREN A DANIEL, JR MD, AMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DANIEL",
        "authorized_official_first_name": "WARREN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "318-387-5244",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "010670",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1120570",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.