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1164478897 NPI number — JAMES WISE WIGGINS JR. MD

NPI Number: 1164478897
Health Care Provider/Practitioner: JAMES WISE WIGGINS JR. MD

Information about “1164478897” NPI (JAMES WISE WIGGINS JR. MD) exists in 1164478897 in HTML format HTML  |  1164478897 in plain Text format TXT  |  1164478897 in PDF (Portable Document Format) PDF  |  1164478897 in an XML format XML  formats.

NPI Number : 1164478897 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1164478897",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WIGGINS",
    "FirstName": "JAMES",
    "MiddleName": "WISE",
    "NamePrefix": null,
    "NameSuffix": "JR.",
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1232 N 30TH ST",
    "SecondLineMailingAddress": "#300",
    "MailingAddressCityName": "BILLINGS",
    "MailingAddressStateName": "MT",
    "MailingAddressPostalCode": "59101-0139",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "406-238-6190",
    "MailingAddressFaxNumber": "406-238-6199",
    "FirstLinePracticeLocationAddress": "1232 N 30TH",
    "SecondLinePracticeLocationAddress": "#300",
    "PracticeLocationAddressCityName": "BILLINGS",
    "PracticeLocationAddressStateName": "MT",
    "PracticeLocationAddressPostalCode": "59101",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "406-238-6190",
    "PracticeLocationAddressFaxNumber": "406-238-6199",
    "EnumerationDate": "05/25/2006",
    "LastUpdateDate": "06/10/2008",
    "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": "2080P0202X",
        "TaxonomyName": "Pediatric Cardiology Physician",
        "LicenseNumber": "5109",
        "LicenseNumberStateCode": "MT",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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