Basic Information
| Provider Information | |||||||||
| NPI: | 1639174766 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | DANIEL P. AKIN M.D. FACS INC | ||||||||
| LastName: | |||||||||
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| OtherOrganizationName: | AKIN MEDICAL CENTER | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2019 STATE ST | ||||||||
| Address2: | |||||||||
| City: | NEW ALBANY | ||||||||
| State: | IN | ||||||||
| PostalCode: | 471504921 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8129453557 | ||||||||
| FaxNumber: | 8129493599 | ||||||||
| Practice Location | |||||||||
| Address1: | 2019 STATE ST | ||||||||
| Address2: | |||||||||
| City: | NEW ALBANY | ||||||||
| State: | IN | ||||||||
| PostalCode: | 471504921 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8129453557 | ||||||||
| FaxNumber: | 8129493599 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/16/2005 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | AKIN | ||||||||
| AuthorizedOfficialFirstName: | DANIEL | ||||||||
| AuthorizedOfficialMiddleName: | P. | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 8129453557 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QM2500X | 50002200A | IN | Y | Ambulatory Health Care Facilities | Clinic/Center | Medical Specialty |
No ID Information.