Daniel Liendo, PA
Physician Assistant in Farmington Hills, MI. Individual provider (NPI-1).
NPI number1215297635
StatusActive
Last updated in NPPESJun 17, 2024
Details
- NPI
- 1215297635
- Entity type
- Individual (NPI-1)
- Name
- Daniel Liendo
- Credential
- PA
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 18, 2012
- Certification date
- Jun 17, 2024
- Last updated
- Jun 17, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 5601006319 | MI | Yes |
| 363A00000X | Physician Assistant | – | – | |
| 363L00000X | Nurse Practitioner | 5601006319 | MI |
Practice location
24350 Orchard Lake RdSuite 111
Farmington Hills, MI 48336-1970
Phone 248-888-7719 · Fax 630-528-9507
Mailing address
1400 E Parkdale AveManistee, MI 49660-9776
Phone 231-398-1840 · Fax 231-339-6183
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 84 Physician Assistant providers in Farmington Hills · All 39,103 providers in Farmington Hills
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