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1457811895 NPI number — BETHANY AAREN MCCANN DO

NPI Number: 1457811895
Health Care Provider/Practitioner: BETHANY AAREN MCCANN DO

Information about “1457811895” NPI (BETHANY AAREN MCCANN DO) exists in 1457811895 in HTML format HTML  |  1457811895 in plain Text format TXT  |  1457811895 in PDF (Portable Document Format) PDF  |  1457811895 in an XML format XML  formats.

NPI Number : 1457811895 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1457811895",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MCCANN",
    "FirstName": "BETHANY",
    "MiddleName": "AAREN",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "DO",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "DERFLINGER",
    "OtherFirstName": "BETHANY",
    "OtherMiddleName": "AAREN",
    "OtherNamePrefix": "MISS",
    "OtherNameSuffix": null,
    "OtherCredential": "DO",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "109 W 27TH ST RM 5S",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NEW YORK",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "10001-6208",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "833-351-8255",
    "MailingAddressFaxNumber": "888-815-3583",
    "FirstLinePracticeLocationAddress": "1 W WINTER ST STE 200",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DELAWARE",
    "PracticeLocationAddressStateName": "OH",
    "PracticeLocationAddressPostalCode": "43015-4635",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "513-828-0285",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/21/2019",
    "LastUpdateDate": "04/14/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "2084P0800X",
          "TaxonomyName": "Psychiatry Physician",
          "LicenseNumber": "20A23695",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "2084P0800X",
          "TaxonomyName": "Psychiatry Physician",
          "LicenseNumber": "331204",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "2084P0800X",
          "TaxonomyName": "Psychiatry Physician",
          "LicenseNumber": "34.016599",
          "LicenseNumberStateCode": "OH",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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