Provider Demographics
NPI:1710266820
Name:AILEEN DANKO MD LLC
Entity Type:Organization
Organization Name:AILEEN DANKO MD LLC
Other - Org Name:KIDS CHOICE PEDIATRIC ORTHOPAEDICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:AILEEN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:DANKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:601-407-6104
Mailing Address - Street 1:PO BOX 1549
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MS
Mailing Address - Zip Code:39046-1549
Mailing Address - Country:US
Mailing Address - Phone:601-407-6104
Mailing Address - Fax:601-407-6074
Practice Address - Street 1:203 W PEACE ST
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:MS
Practice Address - Zip Code:39046-4325
Practice Address - Country:US
Practice Address - Phone:601-407-6104
Practice Address - Fax:601-407-6074
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-06
Last Update Date:2023-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 85303207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL265207200Medicaid
MS009335095Medicaid
FL17064YMedicare UPIN