NPI Code Detail JSON Logo

1598454993 NPI number — MEGAN ELIZABETH GOTHARD MD

NPI Number: 1598454993
Health Care Provider/Practitioner: MEGAN ELIZABETH GOTHARD MD

Information about “1598454993” NPI (MEGAN ELIZABETH GOTHARD MD) exists in 1598454993 in HTML format HTML  |  1598454993 in plain Text format TXT  |  1598454993 in PDF (Portable Document Format) PDF  |  1598454993 in an XML format XML  formats.

NPI Number : 1598454993 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1598454993",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GOTHARD",
    "FirstName": "MEGAN",
    "MiddleName": "ELIZABETH",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "BINDER",
    "OtherFirstName": "MEGAN",
    "OtherMiddleName": "ELIZABETH",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "MD",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "1972 PRINCETON DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "TOLEDO",
    "MailingAddressStateName": "OH",
    "MailingAddressPostalCode": "43614-2935",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "330-491-7506",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "11100 EUCLID AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CLEVELAND",
    "PracticeLocationAddressStateName": "OH",
    "PracticeLocationAddressPostalCode": "44106-1716",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "330-491-7506",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/02/2023",
    "LastUpdateDate": "05/02/2023",
    "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": "390200000X",
        "TaxonomyName": "Student in an Organized Health Care Education/Training Program",
        "LicenseNumber": null,
        "LicenseNumberStateCode": "OH",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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