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1588774830 NPI number — PETER W PINTO CRNA

NPI Number: 1588774830
Health Care Provider/Practitioner: PETER W PINTO CRNA

Information about “1588774830” NPI (PETER W PINTO CRNA) exists in 1588774830 in HTML format HTML  |  1588774830 in plain Text format TXT  |  1588774830 in PDF (Portable Document Format) PDF  |  1588774830 in an XML format XML  formats.

NPI Number : 1588774830 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1588774830",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PINTO",
    "FirstName": "PETER",
    "MiddleName": "W",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "CRNA",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "PINTO",
    "OtherFirstName": "PETER",
    "OtherMiddleName": "W",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "CRNA",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "PO BOX 1684",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PASCAGOULA",
    "MailingAddressStateName": "MS",
    "MailingAddressPostalCode": "39568-1684",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "228-762-9080",
    "MailingAddressFaxNumber": "228-762-0065",
    "FirstLinePracticeLocationAddress": "3882 BIENVILLE BLVD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "OCEAN SPRINGS",
    "PracticeLocationAddressStateName": "MS",
    "PracticeLocationAddressPostalCode": "39564-5803",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "228-872-6629",
    "PracticeLocationAddressFaxNumber": "228-762-0065",
    "EnumerationDate": "08/30/2006",
    "LastUpdateDate": "05/20/2008",
    "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": "367500000X",
        "TaxonomyName": "Certified Registered Nurse Anesthetist",
        "LicenseNumber": "R854706",
        "LicenseNumberStateCode": "MS",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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