NPI Code Detail JSON Logo

1518975077 NPI number — YEVGENIY ISAYEV MD

NPI Number: 1518975077
Health Care Provider/Practitioner: YEVGENIY ISAYEV MD

Information about “1518975077” NPI (YEVGENIY ISAYEV MD) exists in 1518975077 in HTML format HTML  |  1518975077 in plain Text format TXT  |  1518975077 in PDF (Portable Document Format) PDF  |  1518975077 in an XML format XML  formats.

NPI Number : 1518975077 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1518975077",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ISAYEV",
    "FirstName": "YEVGENIY",
    "MiddleName": null,
    "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 783311",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PHILADELPHIA",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "19178-3311",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "610-798-4500",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1250 S CEDAR CREST BLVD",
    "SecondLinePracticeLocationAddress": "SUITE 405",
    "PracticeLocationAddressCityName": "ALLENTOWN",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "18103-6224",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "610-402-8420",
    "PracticeLocationAddressFaxNumber": "610-402-1689",
    "EnumerationDate": "08/03/2006",
    "LastUpdateDate": "07/26/2021",
    "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": "2084V0102X",
          "TaxonomyName": "Vascular Neurology Physician",
          "LicenseNumber": "MD418116",
          "LicenseNumberStateCode": "PA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "2084N0400X",
          "TaxonomyName": "Neurology Physician",
          "LicenseNumber": "MD418116",
          "LicenseNumberStateCode": "PA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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