NPI Code Detail JSON Logo

1285317404 NPI number — SYNERGYHEALTH FOOT & ANKLE ASSOCIATES, PLLC

NPI Number: 1285317404
Health Care Provider/Practitioner: SYNERGYHEALTH FOOT & ANKLE ASSOCIATES, PLLC

Information about “1285317404” NPI (SYNERGYHEALTH FOOT & ANKLE ASSOCIATES, PLLC) exists in 1285317404 in HTML format HTML  |  1285317404 in plain Text format TXT  |  1285317404 in PDF (Portable Document Format) PDF  |  1285317404 in an XML format XML  formats.

NPI Number : 1285317404 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1285317404",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "SYNERGYHEALTH FOOT  & ANKLE ASSOCIATES, PLLC",
    "ParentOrgTIN": null,
    "OrgName": "SYNERGYHEALTH FOOT & ANKLE ASSOCIATES, PLLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "14349 JUSTICE RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MIDLOTHIAN",
    "MailingAddressStateName": "VA",
    "MailingAddressPostalCode": "23113-6841",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "804-837-4144",
    "MailingAddressFaxNumber": "804-823-9335",
    "FirstLinePracticeLocationAddress": "2610 GASKINS RD STE A",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HENRICO",
    "PracticeLocationAddressStateName": "VA",
    "PracticeLocationAddressPostalCode": "23238-1403",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "804-433-3233",
    "PracticeLocationAddressFaxNumber": "804-823-9335",
    "EnumerationDate": "08/14/2023",
    "LastUpdateDate": "08/14/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "PATEL",
    "AuthorizedOfficialFirstName": "USHITA",
    "AuthorizedOfficialMiddleName": "KHAGESHCHANDRA",
    "AuthorizedOfficialTitle": "MANAGING PROVIDER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "DPM",
    "AuthorizedOfficialTelephoneNumber": "804-837-4144",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "213ES0103X",
        "TaxonomyName": "Foot & Ankle Surgery Podiatrist",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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