NPI Code Detail JSON Logo

1003366600 NPI number — MICHAEL R RAPPOLD PA-C

NPI Number: 1003366600
Health Care Provider/Practitioner: MICHAEL R RAPPOLD PA-C

Information about “1003366600” NPI (MICHAEL R RAPPOLD PA-C) exists in 1003366600 in HTML format HTML  |  1003366600 in plain Text format TXT  |  1003366600 in PDF (Portable Document Format) PDF  |  1003366600 in an XML format XML  formats.

NPI Number : 1003366600 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1003366600",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "RAPPOLD",
    "FirstName": "MICHAEL",
    "MiddleName": "R",
    "NamePrefix": "MR.",
    "NameSuffix": null,
    "Credential": "PA-C",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "99 PARK AVE FL 20",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NEW YORK",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "10016-1601",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "212-972-4444",
    "MailingAddressFaxNumber": "212-972-4468",
    "FirstLinePracticeLocationAddress": "99 PARK AVE FL 20",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NEW YORK",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "10016-1601",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "212-972-4444",
    "PracticeLocationAddressFaxNumber": "212-972-4468",
    "EnumerationDate": "10/06/2016",
    "LastUpdateDate": "04/30/2018",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "363A00000X",
        "TaxonomyName": "Physician Assistant",
        "LicenseNumber": null,
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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