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1164683553 NPI number — MICHAEL K MCDAVIT MD

NPI Number: 1164683553
Health Care Provider/Practitioner: MICHAEL K MCDAVIT MD

Information about “1164683553” NPI (MICHAEL K MCDAVIT MD) exists in 1164683553 in HTML format HTML  |  1164683553 in plain Text format TXT  |  1164683553 in PDF (Portable Document Format) PDF  |  1164683553 in an XML format XML  formats.

NPI Number : 1164683553 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1164683553",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MCDAVIT",
    "FirstName": "MICHAEL",
    "MiddleName": "K",
    "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": "4819 LEE AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "VIRGINIA BEACH",
    "MailingAddressStateName": "VA",
    "MailingAddressPostalCode": "23455-1333",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "757-375-9074",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1144 N ROAD ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ELIZABETH CITY",
    "PracticeLocationAddressStateName": "NC",
    "PracticeLocationAddressPostalCode": "27909-3473",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "252-384-4610",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/19/2008",
    "LastUpdateDate": "08/31/2011",
    "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": "207P00000X",
        "TaxonomyName": "Emergency Medicine Physician",
        "LicenseNumber": "2009-00959",
        "LicenseNumberStateCode": "NC",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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