Active NPI
Daniel K Madsen, D.O.
- Internal Medicine Physician
- Waverly, OH
National Provider Identifier
1740265081
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 34-00-3920
- Practice address
- 13800 US RT 23 N
Waverly, OH 45690 - Phone
- (740) 947-8602
- Fax
- (740) 947-7943
- NPI assigned
- Dec 9, 2005
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 34-00-3920 | OH | Primary |
Addresses
Primary practice location
13800 US RT 23 N
Waverly, OH 45690
Mailing address
PO Box 2018
Chillicothe, OH 45601-8018
Phone (740) 775-7943
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0692960 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Apr 1, 2016 through Apr 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397174400000",
"number": "1740265081",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2018",
"city": "CHILLICOTHE",
"state": "OH",
"postal_code": "456018018",
"telephone_number": "740-775-7943",
"fax_number": "740-947-7943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13800 US RT 23 N",
"city": "WAVERLY",
"state": "OH",
"postal_code": "45690",
"telephone_number": "740-947-8602",
"fax_number": "740-947-7943"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADSEN",
"first_name": "DANIEL",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-09",
"last_updated": "2014-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "34-00-3920",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0692960",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waverly, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2014; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.