Provider Demographics
NPI:1558345264
Name:TOMES, DANIEL JOEL (MD)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:JOEL
Last Name:TOMES
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 1:5620 S 27TH ST
Mailing Address - Street 2:SUITE # 100
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68512
Mailing Address - Country:US
Mailing Address - Phone:402-904-4729
Mailing Address - Fax:402-904-5243
Practice Address - Street 1:5620 S 27TH ST
Practice Address - Street 2:SUITE # 100
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68512-1612
Practice Address - Country:US
Practice Address - Phone:402-904-4729
Practice Address - Fax:402-904-5243
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-06
Last Update Date:2022-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE22345207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE47061995513Medicaid
NEH83497Medicare UPIN