NPI Code Detail JSON Logo

1538119110 NPI number — LORI JAN MAY-MALONE MD

NPI Number: 1538119110
Health Care Provider/Practitioner: LORI JAN MAY-MALONE MD

Information about “1538119110” NPI (LORI JAN MAY-MALONE MD) exists in 1538119110 in HTML format HTML  |  1538119110 in plain Text format TXT  |  1538119110 in PDF (Portable Document Format) PDF  |  1538119110 in an XML format XML  formats.

NPI Number : 1538119110 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1538119110",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MAY-MALONE",
    "FirstName": "LORI",
    "MiddleName": "JAN",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MAY",
    "OtherFirstName": "LORI",
    "OtherMiddleName": "JAN",
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "MD",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "300 MIRON DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SOUTHLAKE",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "76092-7862",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "817-749-2000",
    "MailingAddressFaxNumber": "817-749-2020",
    "FirstLinePracticeLocationAddress": "2817 S MAYHILL RD",
    "SecondLinePracticeLocationAddress": "STE 270",
    "PracticeLocationAddressCityName": "DENTON",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "76208-5966",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "940-483-9500",
    "PracticeLocationAddressFaxNumber": "940-483-9550",
    "EnumerationDate": "05/12/2006",
    "LastUpdateDate": "05/31/2012",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "2085B0100X",
          "TaxonomyName": "Body Imaging Physician",
          "LicenseNumber": "L6107",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "2085N0700X",
          "TaxonomyName": "Neuroradiology Physician",
          "LicenseNumber": "L6107",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "2085N0904X",
          "TaxonomyName": "Nuclear Radiology Physician",
          "LicenseNumber": "L6107",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "2085P0229X",
          "TaxonomyName": "Pediatric Radiology Physician",
          "LicenseNumber": "L6107",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "2085R0202X",
          "TaxonomyName": "Diagnostic Radiology Physician",
          "LicenseNumber": "L6107",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "2085R0204X",
          "TaxonomyName": "Vascular & Interventional Radiology Physician",
          "LicenseNumber": "L6107",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "2085U0001X",
          "TaxonomyName": "Diagnostic Ultrasound Physician",
          "LicenseNumber": "L6107",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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