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1124347083 NPI number — JOSHUA TIBBE MD

NPI Number: 1124347083
Health Care Provider/Practitioner: JOSHUA TIBBE MD

Information about “1124347083” NPI (JOSHUA TIBBE MD) exists in 1124347083 in HTML format HTML  |  1124347083 in plain Text format TXT  |  1124347083 in PDF (Portable Document Format) PDF  |  1124347083 in an XML format XML  formats.

NPI Number : 1124347083 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1124347083",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "TIBBE",
    "FirstName": "JOSHUA",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1122 N TOPEKA ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WICHITA",
    "MailingAddressStateName": "KS",
    "MailingAddressPostalCode": "67214-2810",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "316-866-2000",
    "MailingAddressFaxNumber": "316-866-2084",
    "FirstLinePracticeLocationAddress": "5000 S CLIFTON AVE",
    "SecondLinePracticeLocationAddress": "STE 200",
    "PracticeLocationAddressCityName": "WICHITA",
    "PracticeLocationAddressStateName": "KS",
    "PracticeLocationAddressPostalCode": "67216-3408",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "316-866-2000",
    "PracticeLocationAddressFaxNumber": "316-866-2084",
    "EnumerationDate": "05/18/2010",
    "LastUpdateDate": "06/03/2015",
    "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": "207Q00000X",
          "TaxonomyName": "Family Medicine Physician",
          "LicenseNumber": "7365",
          "LicenseNumberStateCode": "KS",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "207Q00000X",
          "TaxonomyName": "Family Medicine Physician",
          "LicenseNumber": "50563",
          "LicenseNumberStateCode": "TN",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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