NPI Code Detail JSON Logo

1487967360 NPI number — VAN METER PEDIATRIC ENDOCRINOLOGY

NPI Number: 1487967360
Health Care Provider/Practitioner: VAN METER PEDIATRIC ENDOCRINOLOGY

Information about “1487967360” NPI (VAN METER PEDIATRIC ENDOCRINOLOGY) exists in 1487967360 in HTML format HTML  |  1487967360 in plain Text format TXT  |  1487967360 in PDF (Portable Document Format) PDF  |  1487967360 in an XML format XML  formats.

NPI Number : 1487967360 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1487967360",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "ATLANTA DIABETES ASSOCIATES",
    "ParentOrgTIN": null,
    "OrgName": "VAN METER PEDIATRIC ENDOCRINOLOGY",
    "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": "1800 HOWELL MILL RD NW STE 450",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ATLANTA",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30318-2508",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "404-355-4393",
    "MailingAddressFaxNumber": "678-961-2107",
    "FirstLinePracticeLocationAddress": "1800 HOWELL MILL RD NW STE 450",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ATLANTA",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "30318-2508",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "678-961-2100",
    "PracticeLocationAddressFaxNumber": "678-961-2107",
    "EnumerationDate": "07/20/2010",
    "LastUpdateDate": "01/21/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "BIDLACK",
    "AuthorizedOfficialFirstName": "BONNIE",
    "AuthorizedOfficialMiddleName": "L",
    "AuthorizedOfficialTitle": "CREDENTIALING",
    "AuthorizedOfficialNamePrefix": "MRS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "CREDENTIALING  CONT",
    "AuthorizedOfficialTelephoneNumber": "404-788-5237",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "2080P0205X",
          "TaxonomyName": "Pediatric Endocrinology Physician",
          "LicenseNumber": "061122",
          "LicenseNumberStateCode": "GA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "2080P0205X",
          "TaxonomyName": "Pediatric Endocrinology Physician",
          "LicenseNumber": "034734",
          "LicenseNumberStateCode": "GA",
          "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."
        }
      ]
    }
  }
}
                
            

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