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1184640708 NPI number — ROME MEDICAL PRACTICE PC

NPI Number: 1184640708
Health Care Provider/Practitioner: ROME MEDICAL PRACTICE PC

Information about “1184640708” NPI (ROME MEDICAL PRACTICE PC) exists in 1184640708 in HTML format HTML  |  1184640708 in plain Text format TXT  |  1184640708 in PDF (Portable Document Format) PDF  |  1184640708 in an XML format XML  formats.

NPI Number : 1184640708 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1184640708",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "GREATER ROME AFFILIATES, INC.",
    "ParentOrgTIN": null,
    "OrgName": "ROME MEDICAL PRACTICE PC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "267 AVERY LANE, SUITE 300",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ROME",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "13441",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "315-338-7636",
    "MailingAddressFaxNumber": "315-356-4982",
    "FirstLinePracticeLocationAddress": "267 AVERY LANE, SUITE 300",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ROME",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "13441",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "315-338-7636",
    "PracticeLocationAddressFaxNumber": "315-356-4982",
    "EnumerationDate": "07/15/2006",
    "LastUpdateDate": "04/26/2021",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "TAURISANO",
    "AuthorizedOfficialFirstName": "LISA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "ADMINISTRATOR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "315-338-7636",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207X00000X",
        "TaxonomyName": "Orthopaedic Surgery Physician",
        "LicenseNumber": "1990091",
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
      }
    }
  }
}
                
            

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