Active NPI
Daniel Cornelius Danaher, PA-C
- Physician Assistant
- Lincoln, NE
National Provider Identifier
1801910500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 333
- Practice address
- 4201 South 14TH St
Nebr. State Penitentiary
Lincoln, NE 68502 - Phone
- (402) 479-3291
- Fax
- (402) 479-3325
- NPI assigned
- Mar 19, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 333 | NE | Primary |
Addresses
Primary practice location
4201 South 14TH St
Nebr. State Penitentiary
Lincoln, NE 68502
Mailing address
4900 Deer Creek Cir
Lincoln, NE 68516-5303
Phone (402) 423-4267
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 333 | NE | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Nebraska Dept of Admin Services | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Health Service Clinic/Center
- Lincoln, NE
- NPI 1750122305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1801910500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4900 DEER CREEK CIR",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685165303",
"telephone_number": "402-423-4267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4201 SOUTH 14TH ST",
"address_2": "NEBR. STATE PENITENTIARY",
"city": "LINCOLN",
"state": "NE",
"postal_code": "68502",
"telephone_number": "402-479-3291",
"fax_number": "402-479-3325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANAHER",
"first_name": "DANIEL",
"middle_name": "CORNELIUS",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NE",
"license": "333",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.