NPI Code Detail JSON Logo

1366469900 NPI number — DARIA L DAVIS MD

NPI Number: 1366469900
Health Care Provider/Practitioner: DARIA L DAVIS MD

Information about “1366469900” NPI (DARIA L DAVIS MD) exists in 1366469900 in HTML format HTML  |  1366469900 in plain Text format TXT  |  1366469900 in PDF (Portable Document Format) PDF  |  1366469900 in an XML format XML  formats.

NPI Number : 1366469900 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1366469900",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DAVIS",
    "FirstName": "DARIA",
    "MiddleName": "L",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "LEE",
    "OtherFirstName": "DARIA",
    "OtherMiddleName": "L",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "MD",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "1751 EARL L CORE RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MORGANTOWN",
    "MailingAddressStateName": "WV",
    "MailingAddressPostalCode": "26505-5891",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "304-225-2500",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3120 US ROUTE 60",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HUNTINGTON",
    "PracticeLocationAddressStateName": "WV",
    "PracticeLocationAddressPostalCode": "25705-2739",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "304-522-3627",
    "PracticeLocationAddressFaxNumber": "304-522-1234",
    "EnumerationDate": "07/17/2006",
    "LastUpdateDate": "12/15/2010",
    "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": "20275",
          "LicenseNumberStateCode": "WV",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "207P00000X",
          "TaxonomyName": "Emergency Medicine Physician",
          "LicenseNumber": "35681",
          "LicenseNumberStateCode": "KY",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207P00000X",
          "TaxonomyName": "Emergency Medicine Physician",
          "LicenseNumber": "35-07-7199L",
          "LicenseNumberStateCode": "OH",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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