NPI Code Detail JSON Logo

1194327155 NPI number — MED ONE SLEEP CENTER, PLLC

NPI Number: 1194327155
Health Care Provider/Practitioner: MED ONE SLEEP CENTER, PLLC

Information about “1194327155” NPI (MED ONE SLEEP CENTER, PLLC) exists in 1194327155 in HTML format HTML  |  1194327155 in plain Text format TXT  |  1194327155 in PDF (Portable Document Format) PDF  |  1194327155 in an XML format XML  formats.

NPI Number : 1194327155 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1194327155",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "MED ONE SLEEP CENTER, PLLC",
    "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": "1340 WALTER REED RD STE 201",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FAYETTEVILLE",
    "MailingAddressStateName": "NC",
    "MailingAddressPostalCode": "28304-4451",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "910-401-5415",
    "MailingAddressFaxNumber": "910-849-3453",
    "FirstLinePracticeLocationAddress": "1340 WALTER REED RD STE 201",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "FAYETTEVILLE",
    "PracticeLocationAddressStateName": "NC",
    "PracticeLocationAddressPostalCode": "28304-4451",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "910-401-5415",
    "PracticeLocationAddressFaxNumber": "910-849-3453",
    "EnumerationDate": "11/13/2020",
    "LastUpdateDate": "11/14/2020",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "GASKINS",
    "AuthorizedOfficialFirstName": "RAYMOND",
    "AuthorizedOfficialMiddleName": "ALBERT",
    "AuthorizedOfficialTitle": "PHYSICIAN OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": "JR.",
    "AuthorizedOfficialCredential": "MD",
    "AuthorizedOfficialTelephoneNumber": "910-977-1399",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "207QS1201X",
          "TaxonomyName": "Sleep Medicine (Family Medicine) Physician",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261QS1200X",
          "TaxonomyName": "Sleep Disorder Diagnostic Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "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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