NPI Code Detail JSON Logo

1396917787 NPI number — RADIOLOGY ASSOCIATES PA

NPI Number: 1396917787
Health Care Provider/Practitioner: RADIOLOGY ASSOCIATES PA

Information about “1396917787” NPI (RADIOLOGY ASSOCIATES PA) exists in 1396917787 in HTML format HTML  |  1396917787 in plain Text format TXT  |  1396917787 in PDF (Portable Document Format) PDF  |  1396917787 in an XML format XML  formats.

NPI Number : 1396917787 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1396917787",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "RADIOLOGY ASSOCIATES PA",
    "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": "1673 MASON AVE",
    "SecondLineMailingAddress": "SUITE 305",
    "MailingAddressCityName": "DAYTONA BEACH",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "32117-5515",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "386-274-7118",
    "MailingAddressFaxNumber": "386-274-6173",
    "FirstLinePracticeLocationAddress": "1890 LPGA BLVD",
    "SecondLinePracticeLocationAddress": "SUITE 140",
    "PracticeLocationAddressCityName": "DAYTONA BEACH",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "32117-7130",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "386-274-7118",
    "PracticeLocationAddressFaxNumber": "386-274-6173",
    "EnumerationDate": "03/26/2008",
    "LastUpdateDate": "02/08/2010",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "FALCO",
    "AuthorizedOfficialFirstName": "AL",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "CEO",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "386-274-7118",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "2085R0202X",
          "TaxonomyName": "Diagnostic Radiology Physician",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "2085R0204X",
          "TaxonomyName": "Vascular & Interventional Radiology Physician",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "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."
        }
      ]
    }
  }
}
                
            

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