NPI Code Detail JSON Logo

1528515848 NPI number — OZARK PHYSICAL MEDICINE CENTER FOR OPERATIONS OZARK PLAZA AND MEDICAL

NPI Number: 1528515848
Health Care Provider/Practitioner: OZARK PHYSICAL MEDICINE CENTER FOR OPERATIONS OZARK PLAZA AND MEDICAL

Information about “1528515848” NPI (OZARK PHYSICAL MEDICINE CENTER FOR OPERATIONS OZARK PLAZA AND MEDICAL) exists in 1528515848 in HTML format HTML  |  1528515848 in plain Text format TXT  |  1528515848 in PDF (Portable Document Format) PDF  |  1528515848 in an XML format XML  formats.

NPI Number : 1528515848 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1528515848",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "OZARK PHYSICAL MEDICINE CENTER FOR OPERATIONS OZARK PLAZA AND MEDICAL",
    "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": "2725 N WESTWOOD BLVD STE 16",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "POPLAR BLUFF",
    "MailingAddressStateName": "MO",
    "MailingAddressPostalCode": "63901-2367",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2725 N WESTWOOD BLVD STE 16",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "POPLAR BLUFF",
    "PracticeLocationAddressStateName": "MO",
    "PracticeLocationAddressPostalCode": "63901-2367",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "573-429-3316",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/02/2016",
    "LastUpdateDate": "06/07/2017",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "TINSLEY",
    "AuthorizedOfficialFirstName": "ASHLEY",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "573-686-5510",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "251E00000X",
        "TaxonomyName": "Home Health Agency",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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