NPI Code Detail JSON Logo

1255434635 NPI number — OLGA KRIVITSKY MD

NPI Number: 1255434635
Health Care Provider/Practitioner: OLGA KRIVITSKY MD

Information about “1255434635” NPI (OLGA KRIVITSKY MD) exists in 1255434635 in HTML format HTML  |  1255434635 in plain Text format TXT  |  1255434635 in PDF (Portable Document Format) PDF  |  1255434635 in an XML format XML  formats.

NPI Number : 1255434635 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1255434635",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "KRIVITSKY",
    "FirstName": "OLGA",
    "MiddleName": null,
    "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": "5920 WHEELER DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "METAIRIE",
    "MailingAddressStateName": "LA",
    "MailingAddressPostalCode": "70003",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "504-888-2945",
    "MailingAddressFaxNumber": "504-469-1979",
    "FirstLinePracticeLocationAddress": "4224 HOUMA BLVD STE 470",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "METAIRIE",
    "PracticeLocationAddressStateName": "LA",
    "PracticeLocationAddressPostalCode": "70006-2980",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "504-456-5160",
    "PracticeLocationAddressFaxNumber": "504-469-1979",
    "EnumerationDate": "09/07/2006",
    "LastUpdateDate": "02/27/2008",
    "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": "208100000X",
        "TaxonomyName": "Physical Medicine & Rehabilitation Physician",
        "LicenseNumber": "L14028R",
        "LicenseNumberStateCode": "LA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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