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1033731898 NPI number — NATHAN RAO PA-C

NPI Number: 1033731898
Health Care Provider/Practitioner: NATHAN RAO PA-C

Information about “1033731898” NPI (NATHAN RAO PA-C) exists in 1033731898 in HTML format HTML  |  1033731898 in plain Text format TXT  |  1033731898 in PDF (Portable Document Format) PDF  |  1033731898 in an XML format XML  formats.

NPI Number : 1033731898 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1033731898",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "RAO",
    "FirstName": "NATHAN",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PA-C",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1738 STATE ROUTE 303 APT 74",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "STREETSBORO",
    "MailingAddressStateName": "OH",
    "MailingAddressPostalCode": "44241-6324",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "440-826-2221",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "9500 EUCLID AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CLEVELAND",
    "PracticeLocationAddressStateName": "OH",
    "PracticeLocationAddressPostalCode": "44195-6324",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "216-444-2200",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/14/2020",
    "LastUpdateDate": "07/19/2021",
    "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": "363A00000X",
          "TaxonomyName": "Physician Assistant",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "390200000X",
          "TaxonomyName": "Student in an Organized Health Care Education/Training Program",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363A00000X",
          "TaxonomyName": "Physician Assistant",
          "LicenseNumber": "50.007042",
          "LicenseNumberStateCode": "OH",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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