NPI Code Detail JSON Logo

1437766722 NPI number — FLOYD E GOODMAN JR.

NPI Number: 1437766722
Health Care Provider/Practitioner: FLOYD E GOODMAN JR.

Information about “1437766722” NPI (FLOYD E GOODMAN JR.) exists in 1437766722 in HTML format HTML  |  1437766722 in plain Text format TXT  |  1437766722 in PDF (Portable Document Format) PDF  |  1437766722 in an XML format XML  formats.

NPI Number : 1437766722 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1437766722",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GOODMAN",
    "FirstName": "FLOYD",
    "MiddleName": "E",
    "NamePrefix": null,
    "NameSuffix": "JR.",
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "489 CAMPBELLS CREEK DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CHARLESTON",
    "MailingAddressStateName": "WV",
    "MailingAddressPostalCode": "25306-6807",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "681-781-3662",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "489 CAMPBELLS CREEK DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CHARLESTON",
    "PracticeLocationAddressStateName": "WV",
    "PracticeLocationAddressPostalCode": "25306-6807",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "681-781-3662",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/30/2020",
    "LastUpdateDate": "01/12/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "3747P1801X",
        "TaxonomyName": "Personal Care Attendant",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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