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1528001674 NPI number — JEROME GREGORY PIONTEK MD

NPI Number: 1528001674
Health Care Provider/Practitioner: JEROME GREGORY PIONTEK MD

Information about “1528001674” NPI (JEROME GREGORY PIONTEK MD) exists in 1528001674 in HTML format HTML  |  1528001674 in plain Text format TXT  |  1528001674 in PDF (Portable Document Format) PDF  |  1528001674 in an XML format XML  formats.

NPI Number : 1528001674 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1528001674",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PIONTEK",
    "FirstName": "JEROME",
    "MiddleName": "GREGORY",
    "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": "121 SAINT LUKES CENTER DR",
    "SecondLineMailingAddress": "STE 302",
    "MailingAddressCityName": "CHESTERFIELD",
    "MailingAddressStateName": "MO",
    "MailingAddressPostalCode": "63017-3509",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "314-523-2595",
    "MailingAddressFaxNumber": "314-590-5947",
    "FirstLinePracticeLocationAddress": "121 SAINT LUKES CENTER DR",
    "SecondLinePracticeLocationAddress": "STE 302",
    "PracticeLocationAddressCityName": "CHESTERFIELD",
    "PracticeLocationAddressStateName": "MO",
    "PracticeLocationAddressPostalCode": "63017-3509",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "314-523-2595",
    "PracticeLocationAddressFaxNumber": "314-590-5947",
    "EnumerationDate": "06/14/2006",
    "LastUpdateDate": "06/13/2017",
    "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": "207X00000X",
        "TaxonomyName": "Orthopaedic Surgery Physician",
        "LicenseNumber": "R8A98",
        "LicenseNumberStateCode": "MO",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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