NPI Code Detail JSON Logo

1588619530 NPI number — JORGE A AMADOR MD

NPI Number: 1588619530
Health Care Provider/Practitioner: JORGE A AMADOR MD

Information about “1588619530” NPI (JORGE A AMADOR MD) exists in 1588619530 in HTML format HTML  |  1588619530 in plain Text format TXT  |  1588619530 in PDF (Portable Document Format) PDF  |  1588619530 in an XML format XML  formats.

NPI Number : 1588619530 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1588619530",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "AMADOR",
    "FirstName": "JORGE",
    "MiddleName": "A",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "AMADOR MARTINEZ",
    "OtherFirstName": "JORGE",
    "OtherMiddleName": "A",
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "M.D",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "8 VILLAGE LN",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NEWNAN",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30265-1902",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "770-400-8443",
    "MailingAddressFaxNumber": "770-400-8445",
    "FirstLinePracticeLocationAddress": "60 OAK HILL BLVD",
    "SecondLinePracticeLocationAddress": "SUITE 204",
    "PracticeLocationAddressCityName": "NEWNAN",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "30265-2314",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "770-400-8444",
    "PracticeLocationAddressFaxNumber": "770-400-8445",
    "EnumerationDate": "05/24/2006",
    "LastUpdateDate": "02/12/2026",
    "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": "207Q00000X",
          "TaxonomyName": "Family Medicine Physician",
          "LicenseNumber": "8415",
          "LicenseNumberStateCode": "PR",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207Q00000X",
          "TaxonomyName": "Family Medicine Physician",
          "LicenseNumber": "058842",
          "LicenseNumberStateCode": "GA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.