NPI Code Detail JSON Logo

1346267788 NPI number — BELLEFONTAINE OB GYN INC

NPI Number: 1346267788
Health Care Provider/Practitioner: BELLEFONTAINE OB GYN INC

Information about “1346267788” NPI (BELLEFONTAINE OB GYN INC) exists in 1346267788 in HTML format HTML  |  1346267788 in plain Text format TXT  |  1346267788 in PDF (Portable Document Format) PDF  |  1346267788 in an XML format XML  formats.

NPI Number : 1346267788 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1346267788",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "BELLEFONTAINE OB GYN INC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1125 RUSH AVE",
    "SecondLineMailingAddress": "PO BOX 879",
    "MailingAddressCityName": "BELLEFONTAINE",
    "MailingAddressStateName": "OH",
    "MailingAddressPostalCode": "43311",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "937-599-3538",
    "MailingAddressFaxNumber": "937-599-4712",
    "FirstLinePracticeLocationAddress": "1125 RUSH AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BELLEFONTAINE",
    "PracticeLocationAddressStateName": "OH",
    "PracticeLocationAddressPostalCode": "43311",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "937-599-3538",
    "PracticeLocationAddressFaxNumber": "937-599-4712",
    "EnumerationDate": "07/15/2006",
    "LastUpdateDate": "09/16/2008",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "MEYER",
    "AuthorizedOfficialFirstName": "JAY",
    "AuthorizedOfficialMiddleName": "E",
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MD",
    "AuthorizedOfficialTelephoneNumber": "937-599-3538",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "207V00000X",
          "TaxonomyName": "Obstetrics & Gynecology Physician",
          "LicenseNumber": "35041219M",
          "LicenseNumberStateCode": "OH",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "207V00000X",
          "TaxonomyName": "Obstetrics & Gynecology Physician",
          "LicenseNumber": "34004809Z",
          "LicenseNumberStateCode": "OH",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207V00000X",
          "TaxonomyName": "Obstetrics & Gynecology Physician",
          "LicenseNumber": "34002858B",
          "LicenseNumberStateCode": "OH",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "367A00000X",
          "TaxonomyName": "Advanced Practice Midwife",
          "LicenseNumber": "RN220340NM07070",
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE 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."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE 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."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE 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."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE 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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