NPI Code Detail JSON Logo

1215099627 NPI number — RITCHIE B GOOCH MD

NPI Number: 1215099627
Health Care Provider/Practitioner: RITCHIE B GOOCH MD

Information about “1215099627” NPI (RITCHIE B GOOCH MD) exists in 1215099627 in HTML format HTML  |  1215099627 in plain Text format TXT  |  1215099627 in PDF (Portable Document Format) PDF  |  1215099627 in an XML format XML  formats.

NPI Number : 1215099627 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1215099627",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GOOCH",
    "FirstName": "RITCHIE",
    "MiddleName": "B",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1377 N 10TH AVENUE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "STAYTON",
    "MailingAddressStateName": "OR",
    "MailingAddressPostalCode": "97383",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "503-769-7771",
    "MailingAddressFaxNumber": "503-769-4630",
    "FirstLinePracticeLocationAddress": "1377 N 10TH AVENUE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "STAYTON",
    "PracticeLocationAddressStateName": "OR",
    "PracticeLocationAddressPostalCode": "97383",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "503-769-7771",
    "PracticeLocationAddressFaxNumber": "503-769-4630",
    "EnumerationDate": "12/14/2006",
    "LastUpdateDate": "07/08/2007",
    "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": "207Q00000X",
        "TaxonomyName": "Family Medicine Physician",
        "LicenseNumber": "MD11706",
        "LicenseNumberStateCode": "OR",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2025 Data Labs Health. All rights reserved.