Provider Demographics
NPI:1558312165
Name:HOERNSCHEMEYER, DANIEL GERARD (MD)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:GERARD
Last Name:HOERNSCHEMEYER
Suffix:
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 802843
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64180-2843
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:204 N KEENE ST
Practice Address - Street 2:STE 102
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65201-8136
Practice Address - Country:US
Practice Address - Phone:573-882-2663
Practice Address - Fax:573-884-9898
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2023-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2004016555207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO208436808Medicaid
MO191203OtherBLUE SHIELD/BLUE CHOICE
MO901677OtherUNITED HEALTHCARE
MO671648OtherHEALTHLINK
H90307Medicare UPIN
MO208436808Medicaid
MOP00176719Medicare PIN
MO923511112Medicare PIN