# DR. DANNY WAYNE GNEWIKOW

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1255331492
- **Gender:** Man
- **Credential:** PH.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | 2201000057 | VA | Yes |

## Other

- **Enumeration date:** 07/29/2005
- **Last updated:** 07/17/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1255331492 | ANTHEM | VA |
| 05 | — | 1255331492 | — | VA |
| 01 | — | 640000012 | MEDICARE PALMETTO GBA PTAN (AUDIOLOGY HEARING AID ASSOCIATES, INC.) | VA |
| 01 | — | 640002399 | MEDICARE RAILROAD PTAN - DANNY W. GNEWIKOW, PH.D., LLC | VA |
| 01 | — | 640003503 | MEDICARE RAILROAD PTAN - AUDIOLOGY HEARING AID ASSOCIATES, INC. | VA |
| 01 | — | 640915704 | MEDICARE PALMETTO GBA PTAN (DANNY W. GNEWIKOW, PH.D., LLC) | VA |