Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1689641615 Individual Practitioner Male Practitioner

Dr. Theodore A Daniel , MD

Pediatrics • Saint Clair Shores, MI

Professional Overview & Biography Verified Profile Summary

Dr. Theodore Daniel, MD is a registered healthcare professional specializing in Pediatrics in Saint Clair Shores, MI. Practice services are available at 20225 E 9 MILE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

20225 E 9 Mile Rd
Suite A

Saint Clair Shores, MI 480801775

Telephone 5867721090
Fax 5867724366
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Saint Clair Shores, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 25.7 Yrs
Regional Practice Density
12 Specialists

Practicing in Saint Clair Shores, MI (2263 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License MI 4301047561

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
4373576 (MI)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
NPI 1003825894

Doctor of Medicine (M.D.)

NPI 1114994498

Doctor of Osteopathic Medicine (D.O.)

NPI 1134196165

Doctor of Medicine (M.D.)

NPI 1255781746

Doctor of Medicine (M.D.)

NPI 1346504438

Doctor of Medicine (M.D.)

NPI 1588631865

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 07, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location April 07, 2014

Registered at 20225 E 9 MILE RD, SUITE A, SAINT CLAIR SHORES, MI 480801775 (Tel: 5867721090)

📍
Updated Business Mailing Address April 07, 2014

Registered at 20225 E 9 MILE RD, SUITE A, SAINT CLAIR SHORES, MI 480801775 (Tel: 5867721090)

👤
Provider Name / Credentials Updated April 07, 2014

Recorded as THEODORE DANIEL, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 07, 2014

Pediatrics (License #4301047561 in MI)

🟢
Initial NPI Registration & Enumeration March 08, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1689641615
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 08, 2006
Last Update: April 07, 2014
Sole Proprietor: No

Mailing Address

20225 E 9 Mile Rd, Suite A

Saint Clair Shores, MI 480801775

Phone: 5867721090

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.