NPI Code Detail JSON Logo

1225278955 NPI number — MARY-ELIZABETH MUCHMORE PERCIVAL M.D.

NPI Number: 1225278955
Health Care Provider/Practitioner: MARY-ELIZABETH MUCHMORE PERCIVAL M.D.

Information about “1225278955” NPI (MARY-ELIZABETH MUCHMORE PERCIVAL M.D.) exists in 1225278955 in HTML format HTML  |  1225278955 in plain Text format TXT  |  1225278955 in PDF (Portable Document Format) PDF  |  1225278955 in an XML format XML  formats.

NPI Number : 1225278955 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1225278955",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PERCIVAL",
    "FirstName": "MARY-ELIZABETH",
    "MiddleName": "MUCHMORE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MUCHMORE",
    "OtherFirstName": "MARY-ELIZABETH",
    "OtherMiddleName": "ANSELMO",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "BOX 358081 / MS G6-075",
    "SecondLineMailingAddress": "UNIVERSITY OF WASHINGTON",
    "MailingAddressCityName": "SEATTLE",
    "MailingAddressStateName": "WA",
    "MailingAddressPostalCode": "98109-1023",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "825 EASTLAKE AVE E",
    "SecondLinePracticeLocationAddress": "SEATTLE CANCER CARE ALLIANCE",
    "PracticeLocationAddressCityName": "SEATTLE",
    "PracticeLocationAddressStateName": "WA",
    "PracticeLocationAddressPostalCode": "98109",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "206-598-6190",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/20/2009",
    "LastUpdateDate": "10/29/2015",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "207R00000X",
          "TaxonomyName": "Internal Medicine Physician",
          "LicenseNumber": "A106581",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207RH0000X",
          "TaxonomyName": "Hematology (Internal Medicine) Physician",
          "LicenseNumber": "MD.MD.60591746",
          "LicenseNumberStateCode": "WA",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "207RH0003X",
          "TaxonomyName": "Hematology & Oncology Physician",
          "LicenseNumber": "A106581",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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