NPI Code Detail JSON Logo

1427123793 NPI number — HAVERTOWN RADIOSURGERY CENTER PC

NPI Number: 1427123793
Health Care Provider/Practitioner: HAVERTOWN RADIOSURGERY CENTER PC

Information about “1427123793” NPI (HAVERTOWN RADIOSURGERY CENTER PC) exists in 1427123793 in HTML format HTML  |  1427123793 in plain Text format TXT  |  1427123793 in PDF (Portable Document Format) PDF  |  1427123793 in an XML format XML  formats.

NPI Number : 1427123793 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1427123793",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "HAVERTOWN RADIOSURGERY CENTER PC",
    "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": "2010 W CHESTER PIKE",
    "SecondLineMailingAddress": "STE 115",
    "MailingAddressCityName": "HAVERTOWN",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "19083-2700",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "610-446-6850",
    "MailingAddressFaxNumber": "610-446-6852",
    "FirstLinePracticeLocationAddress": "2010 W CHESTER PIKE",
    "SecondLinePracticeLocationAddress": "STE 115",
    "PracticeLocationAddressCityName": "HAVERTOWN",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "19083-2700",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "610-446-6850",
    "PracticeLocationAddressFaxNumber": "610-446-6852",
    "EnumerationDate": "11/22/2006",
    "LastUpdateDate": "08/22/2020",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "BRADY",
    "AuthorizedOfficialFirstName": "LUTHER",
    "AuthorizedOfficialMiddleName": "WELDON",
    "AuthorizedOfficialTitle": "CO-OWNER",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": "JR.",
    "AuthorizedOfficialCredential": "MD",
    "AuthorizedOfficialTelephoneNumber": "610-446-6850",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "2085R0001X",
        "TaxonomyName": "Radiation Oncology Physician",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X 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."
      }
    }
  }
}
                
            

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