MEDICARE: ETHAN PHILIP MCDANIEL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1992654099
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ETHAN PHILIP MCDANIEL

Provider Business Mailing Address
First Line	:	5310 SAINT GEORGES AVE
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21212-4346
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5310 SAINT GEORGES AVE
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21212-4346
Country	:	US
Telephone Number	:	443-723-7612
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/22/2026
Last Update Date	:	01/22/2026

Similar Medicare Providers

1407960032 — STEVEN ALLEN BLACKWELL PH.D., J.D., R.PH.
Practice Location Address:

7500 SECURITY BLVD # C3-20-17 , CENTERS FOR MEDICARE & MEDICAID SERVICES
BALTIMORE, MD
21244-1849

Practice Phone: 410-786-6852
Practice Fax:

1396961561 — DR. MARSHA SMITH MD
Practice Location Address:

7500 SECURITY BOULEVARD , CENTERS FOR MEDICARE & MEDICAID SERVICES
BALTIMORE, MD
21201-2301

Practice Phone: 410-786-6614
Practice Fax:

1134335441 — JULIE DAWN PREIS
Practice Location Address:

7500 SECURITY BLVD MS C1-13-07 , CENTERS FOR MEDICARE & MEDICAID SERVICES
BALTIMORE, MD
21244

Practice Phone: 410-786-0525
Practice Fax:

1184766370 — HARBOR EAST DENTAL
Practice Location Address:

1001 FLEET ST , SUITE R
BALTIMORE, MD
21202-4346

Practice Phone: 410-385-9966
Practice Fax: 410-385-0276

1598800674 — MS. TIFFANY ANN WHITE CCC-SLP
Practice Location Address:

1001 FLEET ST
BALTIMORE, MD
21202-4346

Practice Phone: 800-627-4276
Practice Fax: 410-843-8441

1942442926 — SHEILA WALLER CRNP
Practice Location Address:

9114 PHILADELPHIA RD STE 108
BALTIMORE, MD
21237-4346

Practice Phone: 410-248-6300
Practice Fax: 410-686-4973

Directions to “ ETHAN PHILIP MCDANIEL ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.