DR. DANIEL JOHN WATTENDORF M.D.
NPI 1760496178
Medical Genetics - Clinical Cytogenetics in Keesler Afb, MS

NPI Status: Active since July 28, 2006

Contact Information

301 FISHER ST
RM 1A132
KEESLER AFB, MS
ZIP 39534
Phone: (228) 377-6393
Fax: (228) 377-6304

Get Directions Reviews

  • Individual
  • Male
  • Medical Genetics
  • Clinical Cytogenetics
  • PECOS Enrolled

About DANIEL WATTENDORF

This page provides the complete NPI Profile along with additional information for Daniel Wattendorf, a provider established in Keesler Afb, Mississippi with a medical specialization in Medical Genetics, focusing in clinical cytogenetics . The healthcare provider is registered in the NPI registry with number 1760496178 assigned on July 2006. The practitioner's primary taxonomy code is 207SC0300X with license number MD067656L (PA). The provider is registered as an individual and his NPI record was last updated September 2025.

NPI
1760496178
Provider Name
DR. DANIEL JOHN WATTENDORF M.D.
Gender
Male
Entity Type
Individual
Location Address
301 FISHER ST RM 1A132 KEESLER AFB, MS 39534
Location Phone
(228) 377-6393
Location Fax
(228) 377-6304
Mailing Address
301 FISHER ST RM 1A132 KEESLER AFB, MS 39534
Mailing Phone
(228) 377-6393
Mailing Fax
(228) 377-6304
Is Sole Proprietor?
No
Enumeration Date
07-28-2006
Last Update Date
09-11-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Medical Genetics Clinical Cytogenetics

Taxonomy Code
207SC0300X
Type
Allopathic & Osteopathic Physicians
License No.
MD067656L
License State
PA
Taxonomy Description
A clinical cytogeneticist demonstrates competence in providing laboratory diagnostic and clinical interpretive services dealing with cellular components, particularly chromosomes, associated with heredity.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

MD067656L (PA)
2207SG0201XAllopathic & Osteopathic Physicians

Medical Genetics
Clinical Genetics (M.D.)

MD067656L (PA)

Medicare Participation & PECOS Enrollment Status

Daniel Wattendorf is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for DR. DANIEL JOHN WATTENDORF M.D.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1760496178
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271208912114
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 2 + 0 + 8 + 9 + 1 + 2 + 1 + 1 + 4 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1760496178 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1992799241MS. ALISON LEIGH BEACH CRNA
Individual
Nurse Anesthetist, Certified Registered301 FISHER ST
BILOXI, MS 39534
(228) 376-6017
1447219324 BETSY SMITH MAJMA CRNA
Individual
Nurse Anesthetist, Certified Registered301 FISHER ST
KEESLER AFB, MS 39534
(228) 377-6111
1629030564DR. MICHAEL TODD ACREE PHARMD
Individual
Pharmacist301 FISHER ST
KEESLER AFB, MS 39534
(228) 377-6582
1316900640 DONNATA ANTOINE
Individual
Pharmacist301 FISHER ST
BILOXI, MS 39534
(228) 377-8821
1528021540 RYAN HOISINGTON PHARMD
Individual
Pharmacist301 FISHER ST
BILOXI, MS 39534
(228) 377-2086
1275597601MRS. PEGGY LEA LEWIS BSN
Individual
Registered Nurse (Women's Health Care, Ambulatory)301 FISHER ST KAFB
BILOXI, MS 39534
(228) 377-6985
1154386761MS. ELIZABETH L BOWERS-KLAINE WCHNP
Individual
Nurse Practitioner (Women's Health)301 FISHER ST
KEESLER AFB, MS 39534
(228) 377-6512
1609831650DR. ROBERT MACK CROMER M.D.
Individual
Surgery301 FISHER ST GENERAL SURGERY CLINIC
KEESLER AFB, MS 39534
(228) 376-0425
1457319360 ANN ELIZABETH FARASH M.D.
Individual
Pediatrics301 FISHER ST ROOM 1A132
BILOXI, MS 39534
(228) 377-8185
1891743027MS. JUDITH L O'NEIL ARNP
Individual
Nurse Practitioner (Pediatrics)301 FISHER ST
BILOXI, MS 39534
(228) 377-8185
1750317459MS. S REBECCA KERSHAW LCSW
Individual
Social Worker (Clinical)301 FISHER ST KEESLER MEDICAL CENTER
BILOXI, MS 39534
(228) 376-3648
1639109820DR. GREGG STEPHEN SILBERG D.O.
Individual
Radiology (Diagnostic Radiology)301 FISHER ST
KEESLER AFB, MS 39534
(228) 376-4823
1629009220MS. CAROLYN G LAMB LCSW
Individual
Social Worker (Clinical)301 FISHER ST KEESLER MEDICAL CENTER
KEESLER AFB, MS 39534
(228) 377-6216
1730113374DR. VIRGIL SINATRA JEFFERSON M.D.
Individual
Military Health Care Provider301 FISHER ST
BILOXI, MS 39534
(228) 377-6495
1023043619KEESLER MEDICAL CENTER
Organization
Military Hospital301 FISHER ST
BILOXI, MS 39534
(228) 376-3406
1669574141DR. STEVEN M KINDSVATER M.D.
Individual
Internal Medicine (Interventional Cardiology)301 FISHER ST 81ST MDOS / SGOMC
KEESLER AFB, MS 39534
(228) 376-3492
1386748093 JOHN PHILLIP HIGHSMITH MD
Individual
Family Medicine301 FISHER ST KEESLER MEDICAL CENTER
KEESLER AFB, MS 39534
(228) 376-0440
1831286301 JENNIFER ANN NICHOLSON LCSW
Individual
Social Worker (Clinical)301 FISHER ST
KEESLER AFB, MS 39534
(228) 376-3938
1982773412DR. RAJESH TULI M.D.
Individual
Radiology (Diagnostic Radiology)301 FISHER ST
KEESLER AFB, MS 39534
(210) 543-8278
1023179827MRS. SARAH ELIZABETH MONTOYA-ORTEGA R.D.
Individual
Dietitian, Registered301 FISHER ST RM-BA 144A
BILOXI, MS 39534
(228) 376-5072

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760496178, enumerated in the NPI registry as an "individual" on July 28, 2006

The provider is located at 301 Fisher St Rm 1a132 Keesler Afb, Ms 39534 and the phone number is (228) 377-6393

The provider's speciality is Medical Genetics with taxonomy code 207SC0300X with a focus in Clinical Cytogenetics

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

This NPI record was last updated on July 28, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.