NPI Code Detail JSON Logo

1194700625 NPI number — TODD J SCARBROUGH MD

NPI Number: 1194700625
Health Care Provider/Practitioner: TODD J SCARBROUGH MD

Information about “1194700625” NPI (TODD J SCARBROUGH MD) exists in 1194700625 in HTML format HTML  |  1194700625 in plain Text format TXT  |  1194700625 in PDF (Portable Document Format) PDF  |  1194700625 in an XML format XML  formats.

NPI Number : 1194700625 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1194700625",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SCARBROUGH",
    "FirstName": "TODD",
    "MiddleName": "J",
    "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": "323 JUSTICE VALLEY ST # A",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FARRAGUT",
    "MailingAddressStateName": "TN",
    "MailingAddressPostalCode": "37934-4814",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "865-999-5988",
    "MailingAddressFaxNumber": "256-235-5104",
    "FirstLinePracticeLocationAddress": "12329 W BOLA DR STE 100",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SURPRISE",
    "PracticeLocationAddressStateName": "AZ",
    "PracticeLocationAddressPostalCode": "85378-9001",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "623-270-7441",
    "PracticeLocationAddressFaxNumber": "623-270-7442",
    "EnumerationDate": "12/07/2005",
    "LastUpdateDate": "01/21/2026",
    "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": "2085R0001X",
          "TaxonomyName": "Radiation Oncology Physician",
          "LicenseNumber": "ME87407",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "2085R0001X",
          "TaxonomyName": "Radiation Oncology Physician",
          "LicenseNumber": "43369",
          "LicenseNumberStateCode": "KY",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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