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1609835909 NPI number — SHAWN JOSEPH HAYDEN M.D.

NPI Number: 1609835909
Health Care Provider/Practitioner: SHAWN JOSEPH HAYDEN M.D.

Information about “1609835909” NPI (SHAWN JOSEPH HAYDEN M.D.) exists in 1609835909 in HTML format HTML  |  1609835909 in plain Text format TXT  |  1609835909 in PDF (Portable Document Format) PDF  |  1609835909 in an XML format XML  formats.

NPI Number : 1609835909 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1609835909",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HAYDEN",
    "FirstName": "SHAWN",
    "MiddleName": "JOSEPH",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1478 GOODBAR AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MEMPHIS",
    "MailingAddressStateName": "TN",
    "MailingAddressPostalCode": "38104-4911",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "901-454-5117",
    "MailingAddressFaxNumber": "901-454-1799",
    "FirstLinePracticeLocationAddress": "1750 MADISON AVE STE 130",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MEMPHIS",
    "PracticeLocationAddressStateName": "TN",
    "PracticeLocationAddressPostalCode": "38104-6428",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "901-899-5010",
    "PracticeLocationAddressFaxNumber": "901-899-5011",
    "EnumerationDate": "03/23/2006",
    "LastUpdateDate": "08/23/2021",
    "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": "207R00000X",
        "TaxonomyName": "Internal Medicine Physician",
        "LicenseNumber": "MD30962",
        "LicenseNumberStateCode": "TN",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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