Huey B Mcdaniel (NPI# 1710905807, PAC ID# 3971606781) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is VASCULAR SURGERY.
| Nation Provider ID (NPI) | 1710905807 |
| PAC ID by PECOS | 3971606781 |
| Professional Enrollment ID | I20140124000364 |
| Full Name | Huey B Mcdaniel |
| Organization Legal Name | COASTAL VASCULAR AND INTERVENTIONAL PLLC |
| Address |
5149 N 9th Ave Suite 120 Pensacola FL 32504-8734 |
| Phone Number | 8504791805 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE |
| Graduation Year | 1993 |
| Primary Specialty | VASCULAR SURGERY |
| Group Practice PAC ID | 1355405549 |
| Number of Group Practice Members | 16 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100025 | SACRED HEART HOSPITAL |
| 100223 | FORT WALTON BEACH MEDICAL CENTER |
| 100231 | WEST FLORIDA HOSPITAL |
| 100093 | BAPTIST HOSPITAL |
| 100122 | NORTH OKALOOSA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 4012 Commons Dr W, Suite 110, Destin, FL 32541-8424 | 8504347331 | COASTAL VASCULAR AND INTERVENTIONAL PLLC |
| 4585 E Hwy 20, Suite 125, Niceville, FL 32578-7709 | 8506780184 | LIFELINE VASCULAR CENTER NICEVILLE LLC |
| 1851 N 9th Ave, Suite B, Pensacola, FL 32503-5201 | 8509128847 | LIFELINE PENSACOLA LLC |
| 5149 N 9th Ave, Suite 120, Pensacola, FL 32504-8734 | 8504791805 | COASTAL VASCULAR AND INTERVENTIONAL PLLC |
| 8333 N Davis Hwy, Fl 10, Pensacola, FL 32514-6050 | 8504791805 | COASTAL VASCULAR AND INTERVENTIONAL PLLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 0% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 0% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 0% | |
| MIPS_EC_145_overall | Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy | 100% | |
| MIPS_EC_145_overall | Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy | 100% | |
| MIPS_EC_145_overall | Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | COASTAL VASCULAR AND INTERVENTIONAL PLLC |
| Physicians | 16 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark Lytle | Vascular Surgery | Coastal Vascular and Interventional Pllc | 5149 N 9th Ave, Suite 120, Pensacola, FL 32504-8734 |
| Kevin G Bradley | Diagnostic Radiology | Coastal Vascular and Interventional Pllc | 2301 N 9th Ave, Suite 100, Pensacola, FL 32503-5201 |
| Aaron B Montgomery | Interventional Radiology | Coastal Vascular and Interventional Pllc | 5149 N 9th Ave, Suite 120, Pensacola, FL 32504-8734 |
| Jason T Nieves | Vascular Surgery | Coastal Vascular and Interventional Pllc | 5149 N 9th Ave, Suite 120, Pensacola, FL 32504-8734 |
| Shonak B Patel | Vascular Surgery | Coastal Vascular and Interventional Pllc | 5149 N 9th Ave, Suite 120, Pensacola, FL 32504-8734 |
| Christopher J Bosarge | Diagnostic Radiology | Coastal Vascular and Interventional Pllc | 1851 N 9th Ave, Pensacola, FL 32503-5201 |
| Colby Keith Sullivan | Nurse Practitioner | Coastal Vascular and Interventional Pllc | 5149 N 9th Ave, Suite 120, Pensacola, FL 32504-8734 |
| Harry R Cramer | Interventional Radiology | Coastal Vascular and Interventional Pllc | 1851 N 9th Ave, Suite B, Pensacola, FL 32503-5201 |
| Geoffrey L Risley | Vascular Surgery | Coastal Vascular and Interventional Pllc | 5149 N 9th Ave, Suite G21, Pensacola, FL 32504-8756 |
| Kristina R Adam | Physician Assistant | Coastal Vascular and Interventional Pllc | 5149 N 9th Ave, Suite 120, Pensacola, FL 32504-8734 |
| Street Address |
5149 N 9TH AVE SUITE 120 |
| City | PENSACOLA |
| State | FL |
| Zip | 32504-8734 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark Lytle | Vascular Surgery | Coastal Vascular and Interventional Pllc | 5149 N 9th Ave, Suite 120, Pensacola, FL 32504-8734 |
| Aaron B Montgomery | Interventional Radiology | Coastal Vascular and Interventional Pllc | 5149 N 9th Ave, Suite 120, Pensacola, FL 32504-8734 |
| Jason T Nieves | Vascular Surgery | Coastal Vascular and Interventional Pllc | 5149 N 9th Ave, Suite 120, Pensacola, FL 32504-8734 |
| Shonak B Patel | Vascular Surgery | Coastal Vascular and Interventional Pllc | 5149 N 9th Ave, Suite 120, Pensacola, FL 32504-8734 |
| Colby Keith Sullivan | Nurse Practitioner | Coastal Vascular and Interventional Pllc | 5149 N 9th Ave, Suite 120, Pensacola, FL 32504-8734 |
| Geoffrey L Risley | Vascular Surgery | Coastal Vascular and Interventional Pllc | 5149 N 9th Ave, Suite G21, Pensacola, FL 32504-8756 |
| Kristina R Adam | Physician Assistant | Coastal Vascular and Interventional Pllc | 5149 N 9th Ave, Suite 120, Pensacola, FL 32504-8734 |
| Tonya L Hayes | Physician Assistant | Coastal Vascular and Interventional Pllc | 5149 N 9th Ave, Suite 120, Pensacola, FL 32504-8734 |
| Cindy A Saiter | Nurse Practitioner | Coastal Vascular and Interventional Pllc | 5149 N 9th Ave, Suite 120, Pensacola, FL 32504-8734 |
| Christina A Dickson | Nurse Practitioner | Coastal Vascular and Interventional Pllc | 5149 N 9th Ave, Suite 120, Pensacola, FL 32504-8734 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marilyn E Ricketts | Certified Nurse Midwife | Sacred Heart Hospital of Pensacola | 5045 Carpenter Creek Dr, Pensacola, FL 32504-2521 |
| Victoria L Mccullers | Nurse Practitioner | Sacred Heart Hospital of Pensacola | 4501 N Davis Hwy, Suite A, Pensacola, FL 32504-2724 |
| Matilda Jansen | Nurse Practitioner | Sacred Heart Hospital of Pensacola | 4501 N Davis Hwy, Suite A, Pensacola, FL 32504-2724 |
| Richard J Amato | Physician Assistant | Sacred Heart Hospital of Pensacola | 4501 N Davis Hwy, Suite A, Pensacola, FL 32504-2724 |
| Wendy W Osban | Family Medicine | Sacred Heart Hospital of Pensacola | 4501 N Davis Hwy, Suite A, Pensacola, FL 32504-2724 |
| Caroline Quinn | Physician Assistant | Sacred Heart Hospital of Pensacola | 4501 N Davis Hwy, Suite A, Pensacola, FL 32504-2724 |
| Tobias J Moreland | Physician Assistant | Sacred Heart Hospital of Pensacola | 4501 N Davis Hwy, Suite A, Pensacola, FL 32504-2724 |
| Rick Brian Stevens | General Surgery | Sacred Heart Hospital of Pensacola | 4501 N Davis Hwy, Suite A, Pensacola, FL 32504-2724 |
| Jung Y Gorton | Internal Medicine | Sacred Heart Hospital of Pensacola | 4501 N Davis Hwy, Suite A, Pensacola, FL 32504-2724 |
| Caitlin R Geurin | Family Medicine | Sacred Heart Hospital of Pensacola | 4501 N Davis Hwy, Suite A, Pensacola, FL 32504-2724 |
| Find all physicians in zip 32504 | |||
| City | PENSACOLA |
| Zip Code | 32504 |
| Specialty | VASCULAR SURGERY |
| City + Specialty | PENSACOLA + VASCULAR SURGERY |
Please comment or provide details below to improve the information on Huey B Mcdaniel.
| 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.