NPI Code Detail JSON Logo

1508442799 NPI number — GALLUS MEDICAL SERVICES ARIZONA

NPI Number: 1508442799
Health Care Provider/Practitioner: GALLUS MEDICAL SERVICES ARIZONA

Information about “1508442799” NPI (GALLUS MEDICAL SERVICES ARIZONA) exists in 1508442799 in HTML format HTML  |  1508442799 in plain Text format TXT  |  1508442799 in PDF (Portable Document Format) PDF  |  1508442799 in an XML format XML  formats.

NPI Number : 1508442799 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1508442799",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "GALLUS MEDICAL SERVICES ARIZONA",
    "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": "300 S JACKSON ST STE 220",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DENVER",
    "MailingAddressStateName": "CO",
    "MailingAddressPostalCode": "80209-3134",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "720-501-2227",
    "MailingAddressFaxNumber": "720-501-2237",
    "FirstLinePracticeLocationAddress": "4326 N 75TH ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SCOTTSDALE",
    "PracticeLocationAddressStateName": "AZ",
    "PracticeLocationAddressPostalCode": "85251-3505",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "480-425-5540",
    "PracticeLocationAddressFaxNumber": "480-361-9023",
    "EnumerationDate": "03/19/2021",
    "LastUpdateDate": "03/19/2021",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "EDGAR",
    "AuthorizedOfficialFirstName": "ANNETTE",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "MEDICAL REIMBURSEMENT MANAGER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "720-501-2227",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "103TP2701X",
        "TaxonomyName": "Group Psychotherapy Psychologist",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
      }
    }
  }
}
                
            

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