NPI Code Detail JSON Logo

1528457991 NPI number — THE RADEBAUGH LLC

NPI Number: 1528457991
Health Care Provider/Practitioner: THE RADEBAUGH LLC

Information about “1528457991” NPI (THE RADEBAUGH LLC) exists in 1528457991 in HTML format HTML  |  1528457991 in plain Text format TXT  |  1528457991 in PDF (Portable Document Format) PDF  |  1528457991 in an XML format XML  formats.

NPI Number : 1528457991 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1528457991",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "THE RADEBAUGH LLC",
    "ParentOrgTIN": null,
    "OrgName": "THE RADEBAUGH LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "6015 BRAYMOORE DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "GALENA",
    "MailingAddressStateName": "OH",
    "MailingAddressPostalCode": "43021-9093",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "614-374-0389",
    "MailingAddressFaxNumber": "740-879-4577",
    "FirstLinePracticeLocationAddress": "18240 ROYALTON RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "STRONGSVILLE",
    "PracticeLocationAddressStateName": "OH",
    "PracticeLocationAddressPostalCode": "44136-5181",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "440-580-4520",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/22/2015",
    "LastUpdateDate": "02/14/2015",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "RADEBAUGH",
    "AuthorizedOfficialFirstName": "JAMES",
    "AuthorizedOfficialMiddleName": "B",
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "614-374-0389",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "261QP3300X",
          "TaxonomyName": "Pain Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "273Y00000X",
          "TaxonomyName": "Rehabilitation Hospital Unit",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "276400000X",
          "TaxonomyName": "Substance Use Disorder Rehabilitation Hospital Unit",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261Q00000X",
          "TaxonomyName": "Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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