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1023457611 NPI number — ELIZABETH ANN MCINTYRE M.D.

NPI Number: 1023457611
Health Care Provider/Practitioner: ELIZABETH ANN MCINTYRE M.D.

Information about “1023457611” NPI (ELIZABETH ANN MCINTYRE M.D.) exists in 1023457611 in HTML format HTML  |  1023457611 in plain Text format TXT  |  1023457611 in PDF (Portable Document Format) PDF  |  1023457611 in an XML format XML  formats.

NPI Number : 1023457611 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1023457611",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MCINTYRE",
    "FirstName": "ELIZABETH",
    "MiddleName": "ANN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "RAMBIKUR",
    "OtherFirstName": "ELIZABETH",
    "OtherMiddleName": "ANN",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "M.D.",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "1501 N CAMPBELL AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "TUCSON",
    "MailingAddressStateName": "AZ",
    "MailingAddressPostalCode": "85724-0001",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "734-652-9501",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1501 N CAMPBELL AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "TUCSON",
    "PracticeLocationAddressStateName": "AZ",
    "PracticeLocationAddressPostalCode": "85724-0001",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "349-529-5017",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/18/2013",
    "LastUpdateDate": "09/28/2021",
    "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": "207L00000X",
          "TaxonomyName": "Anesthesiology Physician",
          "LicenseNumber": "4301103318",
          "LicenseNumberStateCode": "MI",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207LC0200X",
          "TaxonomyName": "Critical Care Medicine (Anesthesiology) Physician",
          "LicenseNumber": "55772",
          "LicenseNumberStateCode": "AZ",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207L00000X",
          "TaxonomyName": "Anesthesiology Physician",
          "LicenseNumber": "55772",
          "LicenseNumberStateCode": "AZ",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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