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1194016154 NPI number — JAMES LUKE GODWIN M.D.

NPI Number: 1194016154
Health Care Provider/Practitioner: JAMES LUKE GODWIN M.D.

Information about “1194016154” NPI (JAMES LUKE GODWIN M.D.) exists in 1194016154 in HTML format HTML  |  1194016154 in plain Text format TXT  |  1194016154 in PDF (Portable Document Format) PDF  |  1194016154 in an XML format XML  formats.

NPI Number : 1194016154 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1194016154",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GODWIN",
    "FirstName": "JAMES",
    "MiddleName": "LUKE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "925 CHESTNUT ST STE 320A",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PHILADELPHIA",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "19107-4246",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "215-955-8874",
    "MailingAddressFaxNumber": "215-955-2340",
    "FirstLinePracticeLocationAddress": "505 EAST 70TH STREET",
    "SecondLinePracticeLocationAddress": "WEILL CORNELL INTERNAL MEDICINE ASSOCIATES",
    "PracticeLocationAddressCityName": "NEW YORK",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "10021",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "212-746-4749",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/26/2011",
    "LastUpdateDate": "07/21/2022",
    "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": "207RX0202X",
        "TaxonomyName": "Medical Oncology Physician",
        "LicenseNumber": "MD451617",
        "LicenseNumberStateCode": "PA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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