NPI Code Detail JSON Logo

1497710040 NPI number — MARIA J TOMCZYK MD

NPI Number: 1497710040
Health Care Provider/Practitioner: MARIA J TOMCZYK MD

Information about “1497710040” NPI (MARIA J TOMCZYK MD) exists in 1497710040 in HTML format HTML  |  1497710040 in plain Text format TXT  |  1497710040 in PDF (Portable Document Format) PDF  |  1497710040 in an XML format XML  formats.

NPI Number : 1497710040 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1497710040",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "TOMCZYK",
    "FirstName": "MARIA",
    "MiddleName": "J",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "165 COVINGTON DR NE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CLEVELAND",
    "MailingAddressStateName": "TN",
    "MailingAddressPostalCode": "37312-4792",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "423-478-1050",
    "MailingAddressFaxNumber": "423-478-1075",
    "FirstLinePracticeLocationAddress": "1060 WILLIAM WAY NW",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CLEVELAND",
    "PracticeLocationAddressStateName": "TN",
    "PracticeLocationAddressPostalCode": "37312-4369",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "423-478-1050",
    "PracticeLocationAddressFaxNumber": "423-478-1075",
    "EnumerationDate": "04/18/2006",
    "LastUpdateDate": "03/22/2011",
    "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": "207Q00000X",
        "TaxonomyName": "Family Medicine Physician",
        "LicenseNumber": "MD29153",
        "LicenseNumberStateCode": "TN",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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