Active NPI
Patrick James Danaher
- Infectious Disease Physician
- Eglin Afb, FL
National Provider Identifier
1619928900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- R4534
- Practice address
- 307 Boatner Rd Ste 114
96 MDG/96 Mdos/Sgomi
Eglin Afb, FL 32542-1302 - Phone
- (850) 883-8217
- NPI assigned
- May 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | R4534 | TX | Primary |
Addresses
Primary practice location
307 Boatner Rd Ste 114
96 MDG/96 Mdos/Sgomi
Eglin Afb, FL 32542-1302
Mailing address
307 Boatner Rd Ste 114
96 MDG/96 Mdos/Sgomi
Eglin Afb, FL 32542-1302
Phone (850) 883-8217
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 394190801 | Medicaid | TX |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R4534 | TX | MD | Infectious Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553212800000",
"number": "1619928900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "307 BOATNER RD STE 114",
"address_2": "96 MDG/96 MDOS/SGOMI",
"city": "EGLIN AFB",
"state": "FL",
"postal_code": "325421302",
"telephone_number": "850-883-8217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "307 BOATNER RD STE 114",
"address_2": "96 MDG/96 MDOS/SGOMI",
"city": "EGLIN AFB",
"state": "FL",
"postal_code": "325421302",
"telephone_number": "850-883-8217"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANAHER",
"first_name": "PATRICK",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-12",
"last_updated": "2019-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "TX",
"license": "R4534",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "394190801",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Eglin Afb, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.