Provider Demographics
NPI:1861686420
Name:DANIEL HEXTER MD PA
Entity Type:Organization
Organization Name:DANIEL HEXTER MD PA
Other - Org Name:ANNAPOLIS NEUROLOGY ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:P
Authorized Official - Last Name:HEXTER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-266-9694
Mailing Address - Street 1:122 DEFENSE HWY
Mailing Address - Street 2:SUITE 210
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-7069
Mailing Address - Country:US
Mailing Address - Phone:410-266-9694
Mailing Address - Fax:410-266-9695
Practice Address - Street 1:122 DEFENSE HWY
Practice Address - Street 2:210
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-7069
Practice Address - Country:US
Practice Address - Phone:410-266-9694
Practice Address - Fax:410-266-9695
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-28
Last Update Date:2013-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
D01113OtherRR MEDICARE
MD413491500Medicaid
D01113OtherRR MEDICARE
MD605PMedicare PIN