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1497918650 NPI number — CHESAPEAKE UROLOGY ASSOCIATES PA

NPI Number: 1497918650
Health Care Provider/Practitioner: CHESAPEAKE UROLOGY ASSOCIATES PA

Information about “1497918650” NPI (CHESAPEAKE UROLOGY ASSOCIATES PA) exists in 1497918650 in HTML format HTML  |  1497918650 in plain Text format TXT  |  1497918650 in PDF (Portable Document Format) PDF  |  1497918650 in an XML format XML  formats.

NPI Number : 1497918650 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1497918650",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "CHESAPEAKE UROLOGY ASSOCIATES PA",
    "ParentOrgTIN": null,
    "OrgName": "CHESAPEAKE UROLOGY ASSOCIATES PA",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 630664",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BALTIMORE",
    "MailingAddressStateName": "MD",
    "MailingAddressPostalCode": "21263-0664",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "111 W HIGH ST STE 304",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ELKTON",
    "PracticeLocationAddressStateName": "MD",
    "PracticeLocationAddressPostalCode": "21921-8617",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "800-589-5954",
    "PracticeLocationAddressFaxNumber": "410-398-3771",
    "EnumerationDate": "07/08/2008",
    "LastUpdateDate": "07/08/2008",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "SIEGEL",
    "AuthorizedOfficialFirstName": "SANFORD",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PRESIDENT AND CEO",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MD",
    "AuthorizedOfficialTelephoneNumber": "410-581-1600",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "208800000X",
        "TaxonomyName": "Urology Physician",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X 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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