NPI Code Detail JSON Logo

1437375359 NPI number — KIMBERLY A. PAGE, M.D., INC.

NPI Number: 1437375359
Health Care Provider/Practitioner: KIMBERLY A. PAGE, M.D., INC.

Information about “1437375359” NPI (KIMBERLY A. PAGE, M.D., INC.) exists in 1437375359 in HTML format HTML  |  1437375359 in plain Text format TXT  |  1437375359 in PDF (Portable Document Format) PDF  |  1437375359 in an XML format XML  formats.

NPI Number : 1437375359 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1437375359",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "KIMBERLY A. PAGE, M.D., INC.",
    "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": "1388 COURT STREET",
    "SecondLineMailingAddress": "SUITE H",
    "MailingAddressCityName": "REDDING",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "96001-1650",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "530-246-2207",
    "MailingAddressFaxNumber": "530-243-6835",
    "FirstLinePracticeLocationAddress": "1388 COURT STREET",
    "SecondLinePracticeLocationAddress": "SUITE H",
    "PracticeLocationAddressCityName": "REDDING",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "96001-1650",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "530-246-2207",
    "PracticeLocationAddressFaxNumber": "530-243-6835",
    "EnumerationDate": "04/18/2007",
    "LastUpdateDate": "11/17/2015",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "PAGE",
    "AuthorizedOfficialFirstName": "KIMBERLY",
    "AuthorizedOfficialMiddleName": "A",
    "AuthorizedOfficialTitle": "MD/OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MD",
    "AuthorizedOfficialTelephoneNumber": "530-246-2207",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "174400000X",
          "TaxonomyName": "Specialist",
          "LicenseNumber": "G64229",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363A00000X",
          "TaxonomyName": "Physician Assistant",
          "LicenseNumber": "PA18032",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207T00000X",
          "TaxonomyName": "Neurological Surgery Physician",
          "LicenseNumber": null,
          "LicenseNumberStateCode": "CA",
          "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."
        },
        {
          "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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