Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Daniel John Ludeman, PA-C

Individual provider Physician Assistant · NPI 1639746043

Daniel John Ludeman, PA-C is a Physician Assistant in Warsaw, New York. Qualified in 2021, 5 years ago. Licensed in New York.

Years since qualifying
5
Licensed in
NY
In the registry since
2021
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1013 W Buffalo St
Warsaw, NY 14569-9701
Phone: (714) 928-9642
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 029462 (NY)

Record details

NPI number1639746043
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 6, 2021
Last updated in NPPESOctober 25, 2023
Certification dateOctober 25, 2023
Mailing address4784 Lakeview Ave, Yorba Linda, CA 92886-2488

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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