Daniel Wattendorf, M.D.
Daniel Wattendorf, M.D. is a Clinical Cytogenetics Physician in Keesler Afb, MS, registered under NPI 1760496178. This provider registers 3 separate taxonomy codes, which usually means they practise across more than one recognised specialty.
Getting there
The practice address on file is 301 FISHER ST RM 1A132, Keesler Afb, MS 39534. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| MD067656L | PA | Family Medicine Physician |
| MD067656L | PA | Clinical Cytogenetics Physician primary |
| MD067656L | PA | Clinical Genetics (M.D.) Physician |
This provider holds licence MD067656L issued in PA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Clinical Cytogenetics covers
A clinical cytogeneticist demonstrates competence in providing laboratory diagnostic and clinical interpretive services dealing with cellular components, particularly chromosomes, associated with heredity. NUCC Health Care Provider Taxonomy, code 207SC0300X
All registered taxonomy codes
This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 207Q00000X | Family Medicine Physician | MD067656L | PA | |
| 207SC0300X | Clinical Cytogenetics Physician Clinical Cytogenetics | MD067656L | PA | primary |
| 207SG0201X | Clinical Genetics (M.D.) Physician Clinical Genetics (M.D.) | MD067656L | PA |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1760496178 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Jul 28, 2006 |
| Last updated | Sep 11, 2025 |
| Status | Active |
| Sole proprietor | No |
| Gender | Male |
| Credential | M.D. |
| Practice address |
301 FISHER ST RM 1A132 Keesler Afb, MS 39534 (228) 377-6393 Fax (228) 377-6304 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 7 | 6 | 0 | 4 | 9 | 6 | 1 | 7 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 7 | 3 | 0 | 8 | 9 | 3 | 1 | 5 |
Sum = 62 · next multiple of 10 = 70 · check digit = 8 · actual last digit = 8
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.