1013108018 NPI number — DAVID W SCHOPFER M.D., M.A.S.

NPI Number: 1013108018
Health Care Provider/Practitioner: DAVID W SCHOPFER M.D., M.A.S.

NPI Number : 1013108018 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1013108018",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SCHOPFER",
    "FirstName": "DAVID",
    "MiddleName": "W",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "M.D., M.A.S.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "4606 MORGAN DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CHEVY CHASE",
    "MailingAddressStateName": "MD",
    "MailingAddressPostalCode": "20815-5315",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "773-485-6305",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "6705 ROCKLEDGE DR",
    "SecondLinePracticeLocationAddress": "ROCKLEDGE I",
    "PracticeLocationAddressCityName": "BETHESDA",
    "PracticeLocationAddressStateName": "MD",
    "PracticeLocationAddressPostalCode": "20817-2081",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "301-402-3833",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/05/2007",
    "LastUpdateDate": "04/18/2024",
    "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": "207R00000X",
          "TaxonomyName": "Internal Medicine Physician",
          "LicenseNumber": "233500",
          "LicenseNumberStateCode": "MA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207RC0000X",
          "TaxonomyName": "Cardiovascular Disease Physician",
          "LicenseNumber": "D0088123",
          "LicenseNumberStateCode": "MD",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "207R00000X",
          "TaxonomyName": "Internal Medicine Physician",
          "LicenseNumber": "036121540",
          "LicenseNumberStateCode": "IL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207RC0000X",
          "TaxonomyName": "Cardiovascular Disease Physician",
          "LicenseNumber": "A117222",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}