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1588868541 NPI number — GREGORY POWELL MD

NPI Number: 1588868541
Health Care Provider/Practitioner: GREGORY POWELL MD

Information about “1588868541” NPI (GREGORY POWELL MD) exists in 1588868541 in HTML format HTML  |  1588868541 in plain Text format TXT  |  1588868541 in PDF (Portable Document Format) PDF  |  1588868541 in an XML format XML  formats.

NPI Number : 1588868541 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1588868541",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "POWELL",
    "FirstName": "GREGORY",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "9500 EUCLID AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CLEVELAND",
    "MailingAddressStateName": "OH",
    "MailingAddressPostalCode": "44195-0001",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "440-386-2267",
    "MailingAddressFaxNumber": "440-386-2266",
    "FirstLinePracticeLocationAddress": "36100 EUCLID AVE",
    "SecondLinePracticeLocationAddress": "SUITE 440",
    "PracticeLocationAddressCityName": "WILLOUGHBY",
    "PracticeLocationAddressStateName": "OH",
    "PracticeLocationAddressPostalCode": "44094-4456",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "440-942-7909",
    "PracticeLocationAddressFaxNumber": "440-942-7846",
    "EnumerationDate": "06/13/2007",
    "LastUpdateDate": "06/27/2014",
    "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": "207RG0100X",
        "TaxonomyName": "Gastroenterology Physician",
        "LicenseNumber": "35082852",
        "LicenseNumberStateCode": "OH",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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