Fernando Daniels III, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

D0042186 Issued in MD

Practice address

701 Charles St
La Plata, MD 20646-5930

Phone

(301) 609-4000

NPI assigned

Jul 28, 2005

Sex

Male

Sole proprietor

Yes

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.

• Delphi Healthcare Partners of Maryland LLC

  • Surgery Physician
  • Frederick, MD
  • NPI 1699096776
  NPD (past)
• Mep Health, LLC

  • Emergency Medicine Physician
  • Rockville, MD
  • NPI 1164483558

  Emergency Medicine

  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962402297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 SHORTRIDGE LN",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207212576",
            "telephone_number": "301-249-0604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 CHARLES ST",
            "city": "LA PLATA",
            "state": "MD",
            "postal_code": "206465930",
            "telephone_number": "301-609-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "FERNANDO",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MD",
            "license": "D0042186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jane Cunningham, P.T.
• Virginia Lee Cusick
• Dalhart Dialysis LLC
• Hailu Dame
• Monique Alicia Daniel, PHARMD
• Christiana Ruth Dasilva Freitas, M.S. CCC-SLP
• Bronwyn Elizabeth Daugherty, CRNA
• Tara K Davis-Rama
• Bolivia Davis, M.D.
• Jerme Davis

• All providers in La Plata, MD
• Emergency Medicine Physician in Maryland

• 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.

Verify at the official NPI Registry.