NPI Code Detail JSON Logo

1508800087 NPI number — SCOTT MATTHEW WOODBURN MD

NPI Number: 1508800087
Health Care Provider/Practitioner: SCOTT MATTHEW WOODBURN MD

Information about “1508800087” NPI (SCOTT MATTHEW WOODBURN MD) exists in 1508800087 in HTML format HTML  |  1508800087 in plain Text format TXT  |  1508800087 in PDF (Portable Document Format) PDF  |  1508800087 in an XML format XML  formats.

NPI Number : 1508800087 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1508800087",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "X",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WOODBURN",
    "FirstName": "SCOTT",
    "MiddleName": "MATTHEW",
    "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": "PO BOX 52007",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ATLANTA",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30355-0007",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "678-397-0060",
    "MailingAddressFaxNumber": "678-397-0065",
    "FirstLinePracticeLocationAddress": "2460 CURTIS ELLIS DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ROCKY MOUNT",
    "PracticeLocationAddressStateName": "NC",
    "PracticeLocationAddressPostalCode": "27804-2237",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "252-451-3340",
    "PracticeLocationAddressFaxNumber": "252-451-3320",
    "EnumerationDate": "06/15/2006",
    "LastUpdateDate": "07/08/2007",
    "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": "207R00000X",
        "TaxonomyName": "Internal Medicine Physician",
        "LicenseNumber": null,
        "LicenseNumberStateCode": "NC",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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