NPI Code Detail JSON Logo

1356720817 NPI number — SARA NELL POPE DO

NPI Number: 1356720817
Health Care Provider/Practitioner: SARA NELL POPE DO

Information about “1356720817” NPI (SARA NELL POPE DO) exists in 1356720817 in HTML format HTML  |  1356720817 in plain Text format TXT  |  1356720817 in PDF (Portable Document Format) PDF  |  1356720817 in an XML format XML  formats.

NPI Number : 1356720817 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1356720817",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "POPE",
    "FirstName": "SARA",
    "MiddleName": "NELL",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "DO",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "BENNETT",
    "OtherFirstName": "SARA",
    "OtherMiddleName": "NELL",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "27100 CHARDON RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "RICHMOND HEIGHTS",
    "MailingAddressStateName": "OH",
    "MailingAddressPostalCode": "44143-1116",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "6161 S YALE AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "TULSA",
    "PracticeLocationAddressStateName": "OK",
    "PracticeLocationAddressPostalCode": "74136-1902",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "918-502-3939",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/29/2015",
    "LastUpdateDate": "07/08/2019",
    "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": "207P00000X",
        "TaxonomyName": "Emergency Medicine Physician",
        "LicenseNumber": "34.013622",
        "LicenseNumberStateCode": "OH",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.