Daniel Adam Shoemaker, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD417570 Issued in PA

Practice address

300 South Twining St., BLDG 760
Pediatric Clinic
Maxwell Afb, AL 36112-6219

Phone

(334) 953-3113

Fax

(334) 953-5287

NPI assigned

Aug 26, 2005

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

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1669465415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 BRIARWOOD ST",
            "city": "PRATTVILLE",
            "state": "AL",
            "postal_code": "360667543",
            "telephone_number": "334-358-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 SOUTH TWINING ST., BLDG 760",
            "address_2": "PEDIATRIC CLINIC",
            "city": "MAXWELL AFB",
            "state": "AL",
            "postal_code": "361126219",
            "telephone_number": "334-953-3113",
            "fax_number": "334-953-5287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOEMAKER",
        "first_name": "DANIEL",
        "middle_name": "ADAM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-26",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD417570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary B Roberts
• Mary E Robinson
• Jordan Serck, FNP-C
• Scot Allen Shaffer, D.C.
• Jennifer Dell Shoemake, PPCNP-BC, CRNP
• David Jacob Simmons, MD
• Lora Renee Skeahan, DDS
• Chandra Smith, FNP-C
• Christopher Allen Smith, PSYD
• Kari Smith, RDH

• Pediatrics Physician in Maxwell Afb, AL
• Providers in Maxwell Afb, AL by specialty
• Pediatrics Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.