Daniel Bruce Kischnick, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

45910 Issued in KY

Practice address

327 Eastbrooke Pointe Dr
Suite 200
Mt Washington, KY 40047-5561

Phone

(502) 538-5090

Fax

(502) 538-4089

NPI assigned

Mar 31, 2010

Last updated

Aug 24, 2016By 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)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: danielkischnick@wellbeingpeds.medentdirect.com

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.

• Cayuga Medical Center at Ithaca

  • General Acute Care Hospital
  • Ithaca, NY
  • NPI 1962422733
  NPD (past)

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

{
    "created_epoch": "1269993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471996800000",
    "number": "1649595836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 950293",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402950293",
            "telephone_number": "888-987-1875",
            "fax_number": "405-609-1491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 EASTBROOKE POINTE DR",
            "address_2": "SUITE 200",
            "city": "MT WASHINGTON",
            "state": "KY",
            "postal_code": "400475561",
            "telephone_number": "502-538-5090",
            "fax_number": "502-538-4089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISCHNICK",
        "first_name": "DANIEL",
        "middle_name": "BRUCE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-31",
        "last_updated": "2016-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "45910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100166220",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201176530",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kentuckiana Peds Dre LLC
• Kibbe Orthopedics PLLC (Kentucky Orthopedics & Sports Medicine)
• Shane Jacob Kibbe, MD
• Carrie Kidwell, COTA/L
• Kiosk Medicine Kentucky LLC
• Kimberly Brooke Kissell
• Erik Korte, PHD, DABCC
• Kroger Limited Partnership I (Kroger Pharmacy)
• Mark Emerson Kurtz, DMD
• Rebecca H Lamar, PT, DPT

• Pediatrics Physician in Mt Washington, KY
• Providers in Mt Washington, KY by specialty
• Pediatrics Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2016; 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.