Active NPI
Michael O Daniels, M.D.
- Family Medicine Physician
- Mount Holly Springs, PA
National Provider Identifier
1912907387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD035872E
- Practice address
- 303 N Baltimore Ave
Mt Holly Springs, PA 17065-1607 - Phone
- (717) 486-8550
- Fax
- (717) 486-3022
- NPI assigned
- Jul 28, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD035872E | PA | Primary |
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | MD035872E | PA |
Addresses
Primary practice location
303 N Baltimore Ave
Mt Holly Springs, PA 17065-1607
Mailing address
303 N Baltimore Ave
Mt Holly Springs, PA 17065-1607
Phone (717) 486-8550
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1012907387 | Other | NPI | |
| 0010477270001 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091211000072 | PA | Practitioner - Family Practice | 7315087087 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD035872E | PA | MD | Geriatric Medicine (Family Medicine) Physician |
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Mount Holly Springs, PA
- NPI 1467857623
-
- Specialist
- Mount Holly Springs, PA
- NPI 1295795862
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258588800000",
"number": "1912907387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 N BALTIMORE AVE",
"city": "MT HOLLY SPRINGS",
"state": "PA",
"postal_code": "170651607",
"telephone_number": "717-486-8550",
"fax_number": "717-486-3022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 N BALTIMORE AVE",
"city": "MT HOLLY SPRINGS",
"state": "PA",
"postal_code": "170651607",
"telephone_number": "717-486-8550",
"fax_number": "717-486-3022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANIELS",
"first_name": "MICHAEL",
"middle_name": "O",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-28",
"last_updated": "2009-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "MD035872E",
"primary": true
},
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "PA",
"license": "MD035872E",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1012907387",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0010477270001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mount Holly Springs, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2009; 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.