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1417574393 NPI number — PLATTE VALLEY MEDICAL GROUP LLC

NPI Number: 1417574393
Health Care Provider/Practitioner: PLATTE VALLEY MEDICAL GROUP LLC

Information about “1417574393” NPI (PLATTE VALLEY MEDICAL GROUP LLC) exists in 1417574393 in HTML format HTML  |  1417574393 in plain Text format TXT  |  1417574393 in PDF (Portable Document Format) PDF  |  1417574393 in an XML format XML  formats.

NPI Number : 1417574393 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1417574393",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "BRIGHTON COMMUNITY HOSPITAL ASSOCIATION",
    "ParentOrgTIN": null,
    "OrgName": "PLATTE VALLEY MEDICAL GROUP LLC",
    "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": "1606 PRAIRIE CENTER PKWY STE 210",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BRIGHTON",
    "MailingAddressStateName": "CO",
    "MailingAddressPostalCode": "80601-4004",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "303-318-2229",
    "MailingAddressFaxNumber": "720-501-6701",
    "FirstLinePracticeLocationAddress": "1606 PRAIRIE CENTER PKWY STE 210",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BRIGHTON",
    "PracticeLocationAddressStateName": "CO",
    "PracticeLocationAddressPostalCode": "80601-4004",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "303-318-2229",
    "PracticeLocationAddressFaxNumber": "720-501-6701",
    "EnumerationDate": "06/26/2020",
    "LastUpdateDate": "10/17/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "MCDANIEL",
    "AuthorizedOfficialFirstName": "JON",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "VP FINANCE OPERATIONS",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "303-272-0231",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "207V00000X",
          "TaxonomyName": "Obstetrics & Gynecology Physician",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207VM0101X",
          "TaxonomyName": "Maternal & Fetal Medicine Physician",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        }
      ]
    }
  }
}
                
            

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