DR. JOHN R. DANIELSON (NPI# 1104966720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104966720 |
| Entity Type | Individual |
| Full Name | DR. JOHN R. DANIELSON |
| Credential | M.D. |
| Practice Address |
8053 Cleveland Pl Merrillville IN 46410-5303 |
| Practice Telephone | 2197694456 |
| Practice Fax Number | 2197691468 |
| Mailing Telephone | 2197694456 |
| Mailing Fax Number | 2197691468 |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2008-07-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 01034603 | IN | Allopathic & Osteopathic Physicians |
| N | 2082S0105X |
Plastic Surgery Specialization: Surgery of the Hand |
01034603A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ANTHEM | 000000095467 | 01 | |
| IN | 100201750A | 05 | |
| IN | RAILROAD MEDICARE | 240000555 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629072178 | John T. Danielson | Optometrist | 1964 Boston Rd, Wilbraham, MA 01095-1055 | 2005-06-10 |
| Street Address |
8053 CLEVELAND PL |
| City | MERRILLVILLE |
| State | IN |
| Zip Code | 46410-5303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417020504 | Nicholas Chris Retson | Plastic Surgery | 8053 Cleveland Pl, Merrillville, IN 46410-5303 | 2006-11-16 |
| 1952581613 | Retson Plastic Surgerypc | Plastic Surgery | 8053 Cleveland Pl, Merrillville, IN 46410-5303 | 2007-11-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023636867 | Lena Danielle Clouse | Pharmacist | Genoa Healthcare LLC, 8555 Taft Street, Merrillville, IN 46410 | 2020-07-08 |
| 1134752728 | All In One Therapy, LLC | Speech-Language Pathologist | 1800 W 84th Drive, Merrillville, IN 46410 | 2020-02-21 |
| 1134759335 | David John Kujawa | Social Worker | 8398 Mississippi St., Merrillville, IN 46410 | 2020-01-16 |
| 1619513603 | Activate Healthcare - Plumbers Local 210 Clinic | Clinic/Center | 2905 E 83rd Place, Merrillville, IN 46410 | 2019-11-25 |
| 1568946994 | Larry Smith | Case Manager/Care Coordinator | 233 E 83, Merrillville, IN 46410 | 2018-09-21 |
| 1114401536 | The Sheet People | Durable Medical Equipment & Medical Supplies | 8874 Louisiana Street, Merrillville, IN 46410 | 2018-09-21 |
| 1659858439 | Heather Grinder | Hearing Instrument Specialist | 9120 Connecticut Dr., Suite C, Merrillville, IN 46410 | 2018-07-24 |
| 1710463872 | Mitchell G Smith | Optometrist | 1601 E 81st Ave, Merrillville, IN 46410 | 2018-07-12 |
| 1336631753 | Nwi Mobility, Inc. | Durable Medical Equipment & Medical Supplies | 1454 E. 86th Place, Merrillville, IN 46410 | 2018-06-01 |
| 1659860427 | Wendell B Fleming | Counselor | 230 West 175th Place, Apartment I, Merrillville, IN 46410 | 2018-05-07 |
| Find all providers in zip 46410 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417020504 | Nicholas Chris Retson | Plastic Surgery | 8053 Cleveland Pl, Merrillville, IN 46410-5303 | 2006-11-16 |
| 1073554143 | James Mark Platis Jr. | Plastic Surgery | 210 E 86th Pl, Merrillville, IN 46410-6258 | 2006-06-09 |
| 1316271760 | James M Platis Jr Md Ltd | Plastic Surgery | 210 E 86th Pl, Merrillville, IN 46410-6258 | 2009-10-01 |
| 1952581613 | Retson Plastic Surgerypc | Plastic Surgery | 8053 Cleveland Pl, Merrillville, IN 46410-5303 | 2007-11-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215476981 | Nabil Elsahy | Plastic Surgery | 11680 Bluefin Ct, Indianapolis, IN 46236-8500 | 2017-02-14 |
| 1942543681 | Navid Pourtaheri | Plastic Surgery | 705 Riley Hospital Dr Ste 3538, Indianapolis, IN 46202-5109 | 2013-04-01 |
| 1174850598 | Alexis Armour | Plastic Surgery | 368 Bielby Rd Ste 120, Lawrenceburg, IN 47025-1067 | 2009-11-05 |
| 1558597807 | Sewit Amde | Plastic Surgery | 300 E Boyd Avenue, Suite 100, Greenfield, IN 46140-2816 | 2009-06-01 |
| 1841432374 | David S. Slatton Md, PC | Plastic Surgery | 9302 N. Meridian Street, Suite 220, Indianapolis, IN 46260 | 2009-03-30 |
| 1790942175 | Ovidiu Gratian Cristea | Plastic Surgery | 2158 Intelliplex Dr Ste 100, Shelbyville, IN 46176-8548 | 2008-05-22 |
| 1497926893 | Advanced Plastic Surgery of Terre Haute, LLC | Plastic Surgery | 100 E Halt Dr, Terre Haute, IN 47802-4210 | 2008-03-13 |
| 1992916290 | Ryan Patrick Flannagan | Plastic Surgery | 2005 Saint Charles St Ste 4, Jasper, IN 47546-9146 | 2007-05-25 |
| 1457573917 | Jessica Nguyen Gillespie | Plastic Surgery | 8051 South Emerson Avenue, Suite 450, Indianapolis, IN 46237 | 2007-05-03 |
| 1831220938 | William C Sando | Plastic Surgery | 9700 E 146th St Ste 150, Noblesville, IN 46060-4333 | 2007-03-08 |
| Find all providers with the same taxonomy | ||||
| City | MERRILLVILLE |
| Zip Code | 46410 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.