NPIMap

Individual provider Active NPI

Tanner E McDaniel, MD

  • Family Medicine Physician
  • Midwest City, OK
National Provider Identifier
1669458451
Registry record updated Jan 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
21787 Issued in OK
Practice address
8800 SE 15
Midwest City, OK 73110-8001
Phone
(405) 739-6840
Fax
(405) 455-3087
NPI assigned
Dec 22, 2005
Sex
Male
Sole proprietor
No

Organizations & group practices 3

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.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Oklahoma College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Medical Group PLLC 5 clinicians

Practice addresses (Care Compare)

8800 SE 15TH St
Midwest City, OK 73110-8001
Phone (405) 739-6840

Hospital & facility affiliations

  • SSM Health St Anthony Hospital - Midwest Hospital, Midwest City, OK, CCN 370094
  • SSM Health St Anthony Hospital - Oklahoma City Hospital, Oklahoma City, OK, CCN 370037
  • O U Medical Center Hospital, Oklahoma City, OK, CCN 370093
  • Integris Baptist Medical Center, Inc Hospital, Oklahoma City, OK, CCN 370028
  • Integris Southwest Medical Center Hospital, Oklahoma City, OK, CCN 370106

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100923000769 OK Practitioner - Family Practice 0042336315 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Medical Group PLLC Family Medicine CurrentSince Aug 5, 2002 Accepting new patients
Summit Medical Center Past Accepting new patients
Midwest Radiology Associates PC PastSince Feb 5, 1990 Accepting new patients

Locations

8800 SE 15th St
Oklahoma City, OK 73110
Phone (405) 610-4411

1201 S Douglas Blvd
Ste J
Oklahoma City, OK 73130
Phone (405) 739-6840

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ADIBBA
  • Direct secure messaging: tmcdan10@yourcarecommunity.org

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 21787 OK Primary

Addresses

NPPES NPI Registry

Primary practice location

8800 SE 15
Midwest City, OK 73110-8001

Mailing address

8800 SE 15
Midwest City, OK 73110-8001
Phone (405) 739-6840

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
080186246OtherOKRAILROAD THRU MW MEDICAL
100097420BMedicaidOK

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 25, 2016.

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453680000000",
    "number": "1669458451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8800 SE 15",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731108001",
            "telephone_number": "405-739-6840",
            "fax_number": "405-455-3087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8800 SE 15",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731108001",
            "telephone_number": "405-739-6840",
            "fax_number": "405-455-3087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDANIEL",
        "first_name": "TANNER",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2016-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "21787",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD THRU MW MEDICAL",
            "identifier": "080186246",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100097420B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Midwest City, OK

Sources for this page

Verify at the official NPI Registry.