Provider Demographics
NPI:1295701308
Name:ENGLAND, DANIEL B (PA-C)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:B
Last Name:ENGLAND
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 N SHADELAND AVE
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46219-4959
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:13100 E 136TH ST
Practice Address - Street 2:STE 2000
Practice Address - City:FISHERS
Practice Address - State:IN
Practice Address - Zip Code:46037-9478
Practice Address - Country:US
Practice Address - Phone:317-688-5980
Practice Address - Fax:317-338-7252
Is Sole Proprietor?:No
Enumeration Date:2006-02-28
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN10000272A363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN064177OtherSIHO
INP0022040OtherRRMC
IN000000373876OtherBCBS
INM400061278OtherMEDICARE PTAN
IN064177OtherSIHO
INP0022040OtherRRMC
IN177100NMedicare ID - Type Unspecified