NPI Code Detail JSON Logo

1346206158 NPI number — CHRISTIAN THOR FISHER CRNA

NPI Number: 1346206158
Health Care Provider/Practitioner: CHRISTIAN THOR FISHER CRNA

Information about “1346206158” NPI (CHRISTIAN THOR FISHER CRNA) exists in 1346206158 in HTML format HTML  |  1346206158 in plain Text format TXT  |  1346206158 in PDF (Portable Document Format) PDF  |  1346206158 in an XML format XML  formats.

NPI Number : 1346206158 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1346206158",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "FISHER",
    "FirstName": "CHRISTIAN",
    "MiddleName": "THOR",
    "NamePrefix": "MR.",
    "NameSuffix": null,
    "Credential": "CRNA",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1000 LINCOLN CIRCLE SE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ORANGE CITY",
    "MailingAddressStateName": "IA",
    "MailingAddressPostalCode": "51041",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "712-737-4984",
    "MailingAddressFaxNumber": "712-737-5291",
    "FirstLinePracticeLocationAddress": "1000 LINCOLN CIRCLE SE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ORANGE CITY",
    "PracticeLocationAddressStateName": "IA",
    "PracticeLocationAddressPostalCode": "51041",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "712-737-4984",
    "PracticeLocationAddressFaxNumber": "712-737-5291",
    "EnumerationDate": "04/21/2006",
    "LastUpdateDate": "04/14/2010",
    "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": "367500000X",
          "TaxonomyName": "Certified Registered Nurse Anesthetist",
          "LicenseNumber": "050984",
          "LicenseNumberStateCode": "IA",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "367500000X",
          "TaxonomyName": "Certified Registered Nurse Anesthetist",
          "LicenseNumber": "5200771",
          "LicenseNumberStateCode": "IA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "367500000X",
          "TaxonomyName": "Certified Registered Nurse Anesthetist",
          "LicenseNumber": "093447",
          "LicenseNumberStateCode": "IA",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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