D Mike McDaniel

Primary specialty

AudiologistTaxonomy code 231H00000X

License

A84 Issued in AR

Practice address

153 Country Club Road
Pocahontas, AR 72455

Phone

(870) 892-8400

Fax

(870) 892-6033

NPI assigned

Jan 22, 2007

Last updated

Jul 9, 2007By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Randolph County Clinic Corp

  dba Pocahontas Healthcare Specialists

  • Diagnostic Radiology Physician
  • Pocahontas, AR
  • NPI 1366480907
  NPD (past)

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1942354808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 GREENBRIAR DR APT A",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724015994",
            "telephone_number": "870-892-8400",
            "fax_number": "870-892-6033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 COUNTRY CLUB ROAD",
            "city": "POCAHONTAS",
            "state": "AR",
            "postal_code": "72455",
            "telephone_number": "870-892-8400",
            "fax_number": "870-892-6033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDANIEL",
        "first_name": "D",
        "middle_name": "MIKE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "AR",
            "license": "A84",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARK BCBS",
            "identifier": "56313",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Anne Mansfield, BIS
• Jessica Leann Martin, LCSW
• Sara Martin, LCSW
• Maxus Inc (Arkansas Counseling Associates)
• Chenoa McCall, MHPP
• Hollie McDowell, PHARM D
• Laura McGinnis
• Amy Elizabeth McKenzie, MCD, CCC-SLP
• Emily Madison McMullin
• Chasity McPherson

• Audiologist in Pocahontas, AR
• Providers in Pocahontas, AR by specialty
• Audiologist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.

Verify at the official NPI Registry.