Warren A Daniel Jr. (NPI# 1417931841, PAC ID# 2264333103) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1417931841 |
| PAC ID by PECOS | 2264333103 |
| Professional Enrollment ID | I20040115000189 |
| Full Name | Warren A Daniel Jr. |
| Organization Legal Name | AFFINITY HEALTH GROUP, LLC |
| Address |
2408 Broadmoor Blvd Monroe LA 71201-2963 |
| Phone Number | 3188070525 |
| Gender | M |
| Credential | MD |
| Medical School | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS |
| Graduation Year | 1967 |
| Primary Specialty | FAMILY PRACTICE |
| Secondary Specialties | PEDIATRIC MEDICINE |
| Group Practice PAC ID | 9335226547 |
| Number of Group Practice Members | 105 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190160 | GLENWOOD REGIONAL MEDICAL CENTER |
| 190245 | MONROE SURGICAL HOSPITAL |
| 190125 | ST FRANCIS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2408 Broadmoor Blvd, Monroe, LA 71201-2963 | 3188070525 | AFFINITY HEALTH GROUP, LLC |
| 2408 Broadmoor Blvd, Suite 2, Monroe, LA 71201-2963 | 3188070525 | AFFINITY HEALTH GROUP, LLC |
| Organization Legal Name | AFFINITY HEALTH GROUP, LLC |
| Physicians | 104 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cynthia A Turner | Nurse Practitioner | Affinity Health Group, LLC | 920 Oliver Rd, Monroe, LA 71201-5702 |
| Ashley Wiltcher | Nurse Practitioner | Affinity Health Group, LLC | 112 Saint John St, Monroe, LA 71201-7322 |
| Brian Lamb | Occupational Therapy | Affinity Health Group, LLC | 1325 Louisville Ave, Monroe, LA 71201-6021 |
| Sara Dean | Registered Dietitian Or Nutrition Professional | Affinity Health Group, LLC | 2408 Broadmoor Blvd, Suite 2, Monroe, LA 71201-2995 |
| Arthur E Liles | Urology | Affinity Health Group, LLC | 1 Bancroft Cir, Monroe, LA 71201-5101 |
| Nicole M Fuller | Nurse Practitioner | Affinity Health Group, LLC | 2516 Broadmoor Blvd, Monroe, LA 71201-2988 |
| Ronald P Koepke | Cardiovascular Disease (cardiology) | Affinity Health Group, LLC | 109 Regency Pl, West Monroe, LA 71291-4453 |
| Cynthia A Brantly | Registered Dietitian Or Nutrition Professional | Affinity Health Group, LLC | 2408 Broadmoor Blvd, Suite 2, Monroe, LA 71201-2995 |
| Matilda E Stephens | Nurse Practitioner | Affinity Health Group, LLC | 2408 Broadmoor Blvd, Suite 2, Monroe, LA 71201-2995 |
| Sharlene Sullivan | Nurse Practitioner | Affinity Health Group, LLC | 2408 Broadmoor Blvd, Suite 2, Monroe, LA 71201-2995 |
| Street Address |
2408 BROADMOOR BLVD |
| City | MONROE |
| State | LA |
| Zip | 71201-2963 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sara Dean | Registered Dietitian Or Nutrition Professional | Affinity Health Group, LLC | 2408 Broadmoor Blvd, Suite 2, Monroe, LA 71201-2995 |
| Cynthia A Brantly | Registered Dietitian Or Nutrition Professional | Affinity Health Group, LLC | 2408 Broadmoor Blvd, Suite 2, Monroe, LA 71201-2995 |
| Matilda E Stephens | Nurse Practitioner | Affinity Health Group, LLC | 2408 Broadmoor Blvd, Suite 2, Monroe, LA 71201-2995 |
| Sharlene Sullivan | Nurse Practitioner | Affinity Health Group, LLC | 2408 Broadmoor Blvd, Suite 2, Monroe, LA 71201-2995 |
| Sumatha Ghanta | Family Medicine | Affinity Health Group, LLC | 2408 Broadmoor Blvd, Suite 2, Monroe, LA 71201-2995 |
| Tara L Lasuzzo | Physical Therapy | Affinity Health Group, LLC | 2408 Broadmoor Blvd, Suite 2, Monroe, LA 71201-2995 |
| Michael T Hayward | Family Medicine | Affinity Health Group, LLC | 2408 Broadmoor Blvd, Suite 2, Monroe, LA 71201-2995 |
| Stuart L. Melton | Family Medicine | Affinity Health Group, LLC | 2408 Broadmoor Blvd, Suite 2, Monroe, LA 71201-2995 |
| Nancy L Zukowski | Pediatric Medicine | Affinity Health Group, LLC | 2408 Broadmoor Blvd, Suite 2, Monroe, LA 71201-2995 |
| Michael Sampognaro | Internal Medicine | Monroe Surgical Hospital, LLC | 2408 Broadmoor Blvd, Monroe, LA 71201-2994 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paula M Wallace | Physician Assistant | 212 Walnut, Suite 110, Monroe, LA 71201 | |
| Angela C Hamby | Nurse Practitioner | 5000 Forsythe Byp, Suite 118, Monroe, LA 71201-2168 | |
| Christopher Leblanc | Clinical Social Worker | Affinity Health Group, LLC | 2408 Broadmoor Blvd, Suite 2, Monroe, LA 71201-2963 |
| Jane Md Everist | Pediatric Medicine | Affinity Health Group, LLC | 2408 Broadmoor Blvd, Monroe, LA 71201-2963 |
| Loretta P Gremillion | Dermatology | 2409 Broadmoor Blvd, Monroe, LA 71201-2964 | |
| Aruna Gullapalli | Psychiatry | Aruna Gullapalli, Md Apmc | 2404 Duval Dr, Monroe, LA 71201-2986 |
| Venkat N Mallepalli | Internal Medicine | 2408 Duval Dr, Suite 2, Monroe, LA 71201-2986 | |
| Jorge E Alvernia- Silva | Neurosurgery | 2408 Duval Dr, Suite 2, Monroe, LA 71201-2986 | |
| Kitty Jon Kervin | Nurse Practitioner | Aruna Gullapalli, Md Apmc | 2404 Duval Dr, Monroe, LA 71201-2986 |
| Anna G Livingston | Nurse Practitioner | Hopkins Dermatology | 2509 Broadmoor Blvd, A, Monroe, LA 71201-2987 |
| Find all physicians in zip 71201 | |||
| City | MONROE |
| Zip Code | 71201 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | MONROE + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Warren A Daniel Jr..
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.