NPI Code Detail JSON Logo

1013189000 NPI number — MARKUS K DIETRICH MS

NPI Number: 1013189000
Health Care Provider/Practitioner: MARKUS K DIETRICH MS

Information about “1013189000” NPI (MARKUS K DIETRICH MS) exists in 1013189000 in HTML format HTML  |  1013189000 in plain Text format TXT  |  1013189000 in PDF (Portable Document Format) PDF  |  1013189000 in an XML format XML  formats.

NPI Number : 1013189000 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1013189000",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DIETRICH",
    "FirstName": "MARKUS",
    "MiddleName": "K",
    "NamePrefix": "MR.",
    "NameSuffix": null,
    "Credential": "MS",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 358950",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "GAINESVILLE",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "32610-0371",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "352-246-2717",
    "MailingAddressFaxNumber": "352-378-1828",
    "FirstLinePracticeLocationAddress": "5024 NW 27TH CT",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "GAINESVILLE",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "32606-6545",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "352-265-5490",
    "PracticeLocationAddressFaxNumber": "352-265-5495",
    "EnumerationDate": "03/31/2008",
    "LastUpdateDate": "06/30/2020",
    "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": "101YM0800X",
        "TaxonomyName": "Mental Health Counselor",
        "LicenseNumber": "MH6341",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.