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1184122756 NPI number — STEVEN CRAIG PIERCE PA-C

NPI Number: 1184122756
Health Care Provider/Practitioner: STEVEN CRAIG PIERCE PA-C

Information about “1184122756” NPI (STEVEN CRAIG PIERCE PA-C) exists in 1184122756 in HTML format HTML  |  1184122756 in plain Text format TXT  |  1184122756 in PDF (Portable Document Format) PDF  |  1184122756 in an XML format XML  formats.

NPI Number : 1184122756 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1184122756",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PIERCE",
    "FirstName": "STEVEN",
    "MiddleName": "CRAIG",
    "NamePrefix": "MR.",
    "NameSuffix": null,
    "Credential": "PA-C",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "450 E MAIN ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "REXBURG",
    "MailingAddressStateName": "ID",
    "MailingAddressPostalCode": "83440-2048",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "208-356-3691",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "450 E MAIN ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "REXBURG",
    "PracticeLocationAddressStateName": "ID",
    "PracticeLocationAddressPostalCode": "83440-2048",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "208-356-3691",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/29/2018",
    "LastUpdateDate": "04/15/2020",
    "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": "363AM0700X",
          "TaxonomyName": "Medical Physician Assistant",
          "LicenseNumber": "10527550-1206",
          "LicenseNumberStateCode": "UT",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363AM0700X",
          "TaxonomyName": "Medical Physician Assistant",
          "LicenseNumber": "10527550-8906",
          "LicenseNumberStateCode": "UT",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363AM0700X",
          "TaxonomyName": "Medical Physician Assistant",
          "LicenseNumber": "186220",
          "LicenseNumberStateCode": "OR",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363AM0700X",
          "TaxonomyName": "Medical Physician Assistant",
          "LicenseNumber": "PA-1666",
          "LicenseNumberStateCode": "ID",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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