Healthcare Provider Details

I. General information

NPI: 1043535651
Provider Name (Legal Business Name): MATTHEW RAMSEUR MCDANIEL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/07/2010
Last Update Date: 02/08/2023
Certification Date: 02/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

N2198 UNC HOSPITALS 209 MACNIDER CB 7010
CHAPEL HILL NC
27599-7010
US

IV. Provider business mailing address

PO BOX 271647
SALT LAKE CITY UT
84127-1647
US

V. Phone/Fax

Practice location:
  • Phone: 919-966-5136
  • Fax: 984-974-4873
Mailing address:
  • Phone: 919-966-5136
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207LP3000X
TaxonomyPediatric Anesthesiology Physician
License Number2015-00247
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number2015-00247
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: