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1609871334 NPI number — WAYNE S MARGOLIS M.D.

NPI Number: 1609871334
Health Care Provider/Practitioner: WAYNE S MARGOLIS M.D.

Information about “1609871334” NPI (WAYNE S MARGOLIS M.D.) exists in 1609871334 in HTML format HTML  |  1609871334 in plain Text format TXT  |  1609871334 in PDF (Portable Document Format) PDF  |  1609871334 in an XML format XML  formats.

NPI Number : 1609871334 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1609871334",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MARGOLIS",
    "FirstName": "WAYNE",
    "MiddleName": "S",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MARGOLIS",
    "OtherFirstName": "WAYNE",
    "OtherMiddleName": "S",
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "M.D.",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "740 HOSPITAL DR",
    "SecondLineMailingAddress": "SUITE 260",
    "MailingAddressCityName": "BEAUMONT",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "77701-4664",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "409-835-4003",
    "MailingAddressFaxNumber": "409-835-7005",
    "FirstLinePracticeLocationAddress": "740 HOSPITAL DR",
    "SecondLinePracticeLocationAddress": "SUITE 260",
    "PracticeLocationAddressCityName": "BEAUMONT",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "77701-4664",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "409-835-4003",
    "PracticeLocationAddressFaxNumber": "409-835-7005",
    "EnumerationDate": "06/17/2005",
    "LastUpdateDate": "12/30/2011",
    "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": "207RC0200X",
          "TaxonomyName": "Critical Care Medicine (Internal Medicine) Physician",
          "LicenseNumber": "F 9775",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207RI0011X",
          "TaxonomyName": "Interventional Cardiology Physician",
          "LicenseNumber": "F 9775",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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