1568461028 NPI number — DR. DANIEL B POWERS D.O.

Table of content: DR. DANIEL B POWERS D.O. (NPI 1568461028)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1568461028 NPI number — DR. DANIEL B POWERS D.O.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
POWERS
Provider First Name:
DANIEL
Provider Middle Name:
B
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
D.O.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1568461028
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/23/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
203 MAIN STREET
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NORTH READING
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01864
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
978-664-1990
Provider Business Mailing Address Fax Number:
978-664-2105

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
203 MAIN STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NORTH READING
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01864
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
978-664-1990
Provider Business Practice Location Address Fax Number:
978-664-2105
Provider Enumeration Date:
07/18/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  226700 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 04-10823 . This is a "EVERCARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 966577 . This is a "NETWORK HEALTH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 478918 . This is a "TUFTS HEALTH PLAN" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: P00306569 . This is a "RAILROAD MEDICARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 30224106 . This is a "NH MEDICAID" identifier , issued by the state of ( NH ) . This identifiers is of the category "OTHER".
  • Identifier: AA50704 . This is a "HARVARD PILGRIM HEALTHCAR" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 0037519 . This is a "NEIGHBORHOOD HEALTH PLAN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 9227969 . This is a "CIGNA HEALTHCARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 555404 . This is a "HEALTHSOURCDE" identifier . This identifiers is of the category "OTHER".
  • Identifier: H74533 . This is a "ANTHEM BLUE CROSS" identifier , issued by the state of ( NH ) . This identifiers is of the category "OTHER".
  • Identifier: J29712 . This is a "BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".




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