NPI Code Detail JSON Logo

1023452596 NPI number — MARY KATHLEEN LINDEMUTH MD

NPI Number: 1023452596
Health Care Provider/Practitioner: MARY KATHLEEN LINDEMUTH MD

Information about “1023452596” NPI (MARY KATHLEEN LINDEMUTH MD) exists in 1023452596 in HTML format HTML  |  1023452596 in plain Text format TXT  |  1023452596 in PDF (Portable Document Format) PDF  |  1023452596 in an XML format XML  formats.

NPI Number : 1023452596 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1023452596",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LINDEMUTH",
    "FirstName": "MARY",
    "MiddleName": "KATHLEEN",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "5300 N INDEPENDENCE AVE STE 280",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "OKLAHOMA CITY",
    "MailingAddressStateName": "OK",
    "MailingAddressPostalCode": "73112-5555",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "405-552-0400",
    "MailingAddressFaxNumber": "405-752-4251",
    "FirstLinePracticeLocationAddress": "10900 HEFNER POINTE DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "OKLAHOMA CITY",
    "PracticeLocationAddressStateName": "OK",
    "PracticeLocationAddressPostalCode": "73120-5082",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "405-552-0400",
    "PracticeLocationAddressFaxNumber": "405-752-4251",
    "EnumerationDate": "04/26/2013",
    "LastUpdateDate": "09/09/2020",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "208600000X",
        "TaxonomyName": "Surgery Physician",
        "LicenseNumber": "29997",
        "LicenseNumberStateCode": "OK",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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