DANIEL JAMES KIRZEDER (NPI# 1629242474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629242474 |
| Entity Type | Individual |
| Full Name | DANIEL JAMES KIRZEDER |
| Credential | M.D. |
| Practice Address |
100 Hillcrest Medical Blvd Waco TX 76712-8897 |
| Mailing Address |
1117 Boldmere Waco TX 76712-4092 |
| Practice Telephone | 2542024100 |
| Mailing Telephone | 2548489935 |
| Enumeration Date | 2008-04-14 |
| Last Update Date | 2012-09-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
N3793 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
100 HILLCREST MEDICAL BLVD |
| City | WACO |
| State | TX |
| Zip Code | 76712-8897 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639177462 | Tamsak Kanoklukul | Nurse Anesthetist, Certified Registered | 100 Hillcrest Medical Blvd, Waco, TX 76712-8897 | 2005-07-14 |
| 1851992184 | Heather Ann Johnson | Registered Nurse | 100 Hillcrest Medical Blvd, Waco, TX 76712-8897 | 2020-11-03 |
| 1013542372 | Samuel Kelly | Anesthesiologist Assistant | 100 Hillcrest Medical Blvd, Waco, TX 76712-8897 | 2020-03-06 |
| 1902457047 | Megan R Fortenberry | Nurse Practitioner | 100 Hillcrest Medical Blvd, Waco, TX 76712-8897 | 2019-09-20 |
| 1275188732 | Betty Jean Gonzalez | Nurse Practitioner | 100 Hillcrest Medical Blvd, Waco, TX 76712-8897 | 2019-08-01 |
| 1073166559 | Ricardo G Altahif Jr. | Occupational Therapist | 100 Hillcrest Medical Blvd, Waco, TX 76712-8897 | 2019-07-23 |
| 1184286148 | Julia Melee Jones | Physician Assistant | 100 Hillcrest Medical Blvd, Waco, TX 76712-8897 | 2019-06-30 |
| 1194386870 | Daniel Roy Beane | Anesthesiologist Assistant | 100 Hillcrest Medical Blvd, Waco, TX 76712-8897 | 2019-06-24 |
| 1376100875 | Meryl Lee Boutte | Anesthesiology | 100 Hillcrest Medical Blvd, Waco, TX 76712-8897 | 2019-05-21 |
| 1982178018 | Kenneth James Roeger | Nurse Anesthetist, Certified Registered | 100 Hillcrest Medical Blvd, Waco, TX 76712 | 2019-01-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922634294 | Waco Ophthalmology, Pllc | Ophthalmology | 602 W Highway 6, Waco, TX 76712 | 2020-03-19 |
| 1326692872 | Oceans Behavioral Hospital of Waco LLC | Psychiatric Hospital | 5931 Crosslake Parkway, Waco, TX 76712 | 2019-08-01 |
| 1831759620 | Jessica Ngoc Vien | Optometrist | 1000 Hwy 6, Ste 210, Waco, TX 76712 | 2019-06-14 |
| 1780150888 | Chelsea Cannon | Occupational Therapist | 330 W State Hwy 6, Waco, TX 76712 | 2018-10-17 |
| 1669955399 | Elizabeth Ann Barnhill | Speech-Language Pathologist | 15003 Riatta Rd, Woodway, TX 76712 | 2018-09-09 |
| 1447731617 | Melanie A Melton | Physical Therapist | 300 West Highway 6, Waco, TX 76712 | 2018-08-27 |
| 1396226403 | Gala Kaye Czajkoski | Occupational Therapy Assistant | 300 West Hightway 6, Waco, TX 76712 | 2018-08-27 |
| 1619457454 | Monica Anderson | Physical Therapy Assistant | 300 W Hwy 6, Waco, TX 76712 | 2018-08-21 |
| 1295238368 | Waco Sn Opco LLC | Skilled Nursing Facility | 7501 Bagby, Waco, TX 76712 | 2018-03-14 |
| 1558872952 | C. Guy Fps, Pllc | Otolaryngology | 1129 Aberdeen Rd, Waco, TX 76712 | 2017-10-12 |
| Find all providers in zip 76712 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194030544 | Matthew Locke Kendrick | Radiology | 7543 Bosque Blvd Ste H, Waco, TX 76712-3774 | 2010-08-10 |
| 1679507768 | Russell L Mcclellan | Radiology | 3000 Herring Avenue, Waco, TX 76708 | 2006-07-11 |
| 1689608226 | Hillcrest X-ray Physicians | Radiology | 100 Hillcrest Baptist Medical Blvd., Waco, TX 76712-8899 | 2006-07-10 |
| 1417915984 | Central Texas Advanced Medical Imaging Lp | Radiology | 312 Richland West Circle, Waco, TX 76712 | 2006-05-03 |
| 1053376780 | Brian John Risinger | Radiology | 409 Keys Creek Dr, Waco, TX 76708-3762 | 2006-04-18 |
| 1063418929 | Kenneth James Ratajczak | Radiology | 3724 Greenleaf Drive, Waco, TX 76710-1414 | 2005-06-24 |
| 1588698674 | Fred H Rader | Radiology | 3000 Herring Avenue, Waco, TX 76708 | 2006-07-11 |
| 1396779484 | Jeffrey C Gerik | Radiology | 3000 Herring Ave, Waco, TX 76708 | 2006-07-11 |
| 1114951209 | Fred A Walters | Radiology | 3000 Herring Avenue, Waco, TX 76708 | 2006-07-11 |
| 1558395640 | Jose Vernon Watson | Radiology | 3000 Herring Avenue, Waco, TX 76708 | 2006-07-11 |
| Find all providers in WACO | ||||
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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.