Basic Information
Provider Information
NPI: 1407007818
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: AMINIAN
FirstName: DANAMARIE
MiddleName: E.
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 950
Address2:  
City: DEFIANCE
State: OH
PostalCode: 435120950
CountryCode: US
TelephoneNumber: 8005144390
FaxNumber: 4408083704
Practice Location
Address1: 801 OHIO HEALTH BLVD
Address2: ST 270
City: DELAWARE
State: OH
PostalCode: 430158900
CountryCode: US
TelephoneNumber: 7406152222
FaxNumber: 7406150330
Other Information
ProviderEnumerationDate: 10/03/2008
LastUpdateDate: 03/10/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 03/10/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000X251342MAN Allopathic & Osteopathic PhysiciansAnesthesiology 
207LP2900X251342MAN Allopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
208VP0000X35126462OHY Allopathic & Osteopathic PhysiciansPain MedicinePain Medicine

No ID Information.


Home