NPI Code Detail JSON Logo

1467683565 NPI number — SETH R QUAM D.O.

NPI Number: 1467683565
Health Care Provider/Practitioner: SETH R QUAM D.O.

Information about “1467683565” NPI (SETH R QUAM D.O.) exists in 1467683565 in HTML format HTML  |  1467683565 in plain Text format TXT  |  1467683565 in PDF (Portable Document Format) PDF  |  1467683565 in an XML format XML  formats.

NPI Number : 1467683565 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1467683565",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "QUAM",
    "FirstName": "SETH",
    "MiddleName": "R",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "D.O.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3200 GRAND AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DES MOINES",
    "MailingAddressStateName": "IA",
    "MailingAddressPostalCode": "50312-4104",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "515-271-1710",
    "MailingAddressFaxNumber": "515-271-1726",
    "FirstLinePracticeLocationAddress": "3200 GRAND AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DES MOINES",
    "PracticeLocationAddressStateName": "IA",
    "PracticeLocationAddressPostalCode": "50312-4104",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "515-271-1710",
    "PracticeLocationAddressFaxNumber": "515-271-1726",
    "EnumerationDate": "08/06/2009",
    "LastUpdateDate": "08/22/2024",
    "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": "207Q00000X",
          "TaxonomyName": "Family Medicine Physician",
          "LicenseNumber": "R-8713",
          "LicenseNumberStateCode": "IA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207Q00000X",
          "TaxonomyName": "Family Medicine Physician",
          "LicenseNumber": "4116",
          "LicenseNumberStateCode": "IA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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