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1235558503 NPI number — JAIME L MOELLMAN MD

NPI Number: 1235558503
Health Care Provider/Practitioner: JAIME L MOELLMAN MD

Information about “1235558503” NPI (JAIME L MOELLMAN MD) exists in 1235558503 in HTML format HTML  |  1235558503 in plain Text format TXT  |  1235558503 in PDF (Portable Document Format) PDF  |  1235558503 in an XML format XML  formats.

NPI Number : 1235558503 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1235558503",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MOELLMAN",
    "FirstName": "JAIME",
    "MiddleName": "L",
    "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": "555 N DUKE ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LANCASTER",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "17602-2250",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "717-544-8144",
    "MailingAddressFaxNumber": "717-544-8140",
    "FirstLinePracticeLocationAddress": "555 N DUKE ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LANCASTER",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "17602-2250",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "717-544-8144",
    "PracticeLocationAddressFaxNumber": "717-544-8140",
    "EnumerationDate": "04/15/2014",
    "LastUpdateDate": "12/02/2019",
    "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": "208M00000X",
          "TaxonomyName": "Hospitalist Physician",
          "LicenseNumber": "MD464284",
          "LicenseNumberStateCode": "PA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207R00000X",
          "TaxonomyName": "Internal Medicine Physician",
          "LicenseNumber": "MD464284",
          "LicenseNumberStateCode": "PA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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