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1619579026 NPI number — JACEY PAIGE HARMON MD

NPI Number: 1619579026
Health Care Provider/Practitioner: JACEY PAIGE HARMON MD

Information about “1619579026” NPI (JACEY PAIGE HARMON MD) exists in 1619579026 in HTML format HTML  |  1619579026 in plain Text format TXT  |  1619579026 in PDF (Portable Document Format) PDF  |  1619579026 in an XML format XML  formats.

NPI Number : 1619579026 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1619579026",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HARMON",
    "FirstName": "JACEY",
    "MiddleName": "PAIGE",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "ELLIOTT",
    "OtherFirstName": "JACEY",
    "OtherMiddleName": "PAIGE",
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "MD",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "800 STANTON L YOUNG BLVD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "OKLAHOMA CITY",
    "MailingAddressStateName": "OK",
    "MailingAddressPostalCode": "73104-5018",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "316-258-6016",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "800 STANTON L YOUNG BLVD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "OKLAHOMA CITY",
    "PracticeLocationAddressStateName": "OK",
    "PracticeLocationAddressPostalCode": "73104-5018",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "405-271-5239",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/10/2020",
    "LastUpdateDate": "06/20/2025",
    "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": "207V00000X",
        "TaxonomyName": "Obstetrics & Gynecology Physician",
        "LicenseNumber": "43403",
        "LicenseNumberStateCode": "OK",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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