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1346268141 NPI number — SUSAN F MADERIC M.D.

NPI Number: 1346268141
Health Care Provider/Practitioner: SUSAN F MADERIC M.D.

Information about “1346268141” NPI (SUSAN F MADERIC M.D.) exists in 1346268141 in HTML format HTML  |  1346268141 in plain Text format TXT  |  1346268141 in PDF (Portable Document Format) PDF  |  1346268141 in an XML format XML  formats.

NPI Number : 1346268141 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1346268141",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MADERIC",
    "FirstName": "SUSAN",
    "MiddleName": "F",
    "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 3395",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "EVANSVILLE",
    "MailingAddressStateName": "IN",
    "MailingAddressPostalCode": "47732-3395",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "10235 HIGHWAY 421 N STE 1A",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MILTON",
    "PracticeLocationAddressStateName": "KY",
    "PracticeLocationAddressPostalCode": "40045-1541",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "502-268-5500",
    "PracticeLocationAddressFaxNumber": "502-268-3600",
    "EnumerationDate": "07/18/2006",
    "LastUpdateDate": "11/12/2024",
    "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": "207Q00000X",
          "TaxonomyName": "Family Medicine Physician",
          "LicenseNumber": "01068627A",
          "LicenseNumberStateCode": "IN",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207Q00000X",
          "TaxonomyName": "Family Medicine Physician",
          "LicenseNumber": "39244",
          "LicenseNumberStateCode": "KY",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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