NPI Code Detail JSON Logo

1013226612 NPI number — GOLD MEDICAL

NPI Number: 1013226612
Health Care Provider/Practitioner: GOLD MEDICAL

Information about “1013226612” NPI (GOLD MEDICAL) exists in 1013226612 in HTML format HTML  |  1013226612 in plain Text format TXT  |  1013226612 in PDF (Portable Document Format) PDF  |  1013226612 in an XML format XML  formats.

NPI Number : 1013226612 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1013226612",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "GOLD MEDICAL",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1799 W 5TH AVE",
    "SecondLineMailingAddress": "SUITE 252",
    "MailingAddressCityName": "COLUMBUS",
    "MailingAddressStateName": "OH",
    "MailingAddressPostalCode": "43212-2322",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1799 W 5TH AVE",
    "SecondLinePracticeLocationAddress": "SUITE 252",
    "PracticeLocationAddressCityName": "COLUMBUS",
    "PracticeLocationAddressStateName": "OH",
    "PracticeLocationAddressPostalCode": "43212-2322",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "800-237-0836",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/29/2010",
    "LastUpdateDate": "10/04/2010",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "BONZA",
    "AuthorizedOfficialFirstName": "SARAH",
    "AuthorizedOfficialMiddleName": "HOPE",
    "AuthorizedOfficialTitle": "OWNER/ PHYSICIAN",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "M.D.",
    "AuthorizedOfficialTelephoneNumber": "800-237-0836",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "3336H0001X",
          "TaxonomyName": "Home Infusion Therapy Pharmacy",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "251G00000X",
          "TaxonomyName": "Community Based Hospice Care Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "332B00000X",
          "TaxonomyName": "Durable Medical Equipment & Medical Supplies",
          "LicenseNumber": "N/A",
          "LicenseNumberStateCode": "OH",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "332BX2000X",
          "TaxonomyName": "Oxygen Equipment & Supplies (DME)",
          "LicenseNumber": "N/A",
          "LicenseNumberStateCode": "OH",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "251E00000X",
          "TaxonomyName": "Home Health Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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