DR. DANIEL M O'ROARK DO NPI 1740216910

NPI Information

NPI: 1740216910
Provider Name: DR. DANIEL M O'ROARK, DO
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

PECOS Registration: Yes

Address:
701 N STATE OF FRANKLIN RD
STE 9
JOHNSON CITY, TN
ZIP 37604
Phone: (423) 926-4468
Get Directions

DR. Daniel M O'roark, DO is a cardiovascular disease internal medicine in Johnson City, TN. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. DR. Daniel M O'roark, DO NPI is 1740216910. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

701 N STATE OF FRANKLIN RD
STE 9
JOHNSON CITY, TN
ZIP 37604-645
Phone: (423) 926-4468
Fax: (423) 928-4838

The NPI 1740216910 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/22/2006 and was last updated on 11/22/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		1720	TENNESSEE	No
2	207RC0000X	Internal Medicine	Cardiovascular Disease	0102201788	VIRGINIA	No
3	207RC0000X	Internal Medicine	Cardiovascular Disease	OS006046E	PENNSYLVANIA	No
4	207RC0000X	Internal Medicine	Cardiovascular Disease	1720	TENNESSEE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1740216910	MEDICAID	VIRGINIA
2	3319525	MEDICAID	TENNESSEE
3	621112685	OTHER	TENNESSEE	UNITED HEALTHCARE
4	64108509	MEDICAID	KENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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