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1275735920 NPI number — JED SCOTT SHAPIRO M.D.

NPI Number: 1275735920
Health Care Provider/Practitioner: JED SCOTT SHAPIRO M.D.

Information about “1275735920” NPI (JED SCOTT SHAPIRO M.D.) exists in 1275735920 in HTML format HTML  |  1275735920 in plain Text format TXT  |  1275735920 in PDF (Portable Document Format) PDF  |  1275735920 in an XML format XML  formats.

NPI Number : 1275735920 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1275735920",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SHAPIRO",
    "FirstName": "JED",
    "MiddleName": "SCOTT",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 873",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "OAKS",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "19456-0873",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "215-792-2250",
    "MailingAddressFaxNumber": "800-595-4221",
    "FirstLinePracticeLocationAddress": "2201 RIDGEWOOD RD",
    "SecondLinePracticeLocationAddress": "SUITE 160",
    "PracticeLocationAddressCityName": "WYOMISSING",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "19610-1189",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "215-792-2250",
    "PracticeLocationAddressFaxNumber": "800-595-4221",
    "EnumerationDate": "06/04/2007",
    "LastUpdateDate": "03/22/2017",
    "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": "207L00000X",
          "TaxonomyName": "Anesthesiology Physician",
          "LicenseNumber": "ME98500",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207L00000X",
          "TaxonomyName": "Anesthesiology Physician",
          "LicenseNumber": "0101241138",
          "LicenseNumberStateCode": "VA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207L00000X",
          "TaxonomyName": "Anesthesiology Physician",
          "LicenseNumber": "MD451607",
          "LicenseNumberStateCode": "PA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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