Provider Demographics
NPI:1427007996
Name:DANIEL, JOHN MONROE III (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:MONROE
Last Name:DANIEL
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 28780
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23228-8780
Mailing Address - Country:US
Mailing Address - Phone:804-346-1515
Mailing Address - Fax:804-270-2888
Practice Address - Street 1:6900 FOREST AVE
Practice Address - Street 2:SUITE 300
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23230-1729
Practice Address - Country:US
Practice Address - Phone:804-346-1515
Practice Address - Fax:804-270-2888
Is Sole Proprietor?:No
Enumeration Date:2006-05-10
Last Update Date:2013-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101029976207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0400032OtherUNITED HEALTHCARE
VA36378OtherOPTIMA
VA416096OtherSOUTHERN HEALTH
VA539792OtherAETNA NON-HMO
VA5817242Medicaid
VA116032OtherANTHEM BCBS
VA551462OtherAETNA HMO
VA10509OtherCIGNA
VA551462OtherAETNA HMO
VAB08465Medicare UPIN
VA5817242Medicaid
VA416096OtherSOUTHERN HEALTH
VA110007141Medicare PIN