NPI Code Detail JSON Logo

1659088227 NPI number — MICHAEL ALAN COLSON CCMC

NPI Number: 1659088227
Health Care Provider/Practitioner: MICHAEL ALAN COLSON CCMC

Information about “1659088227” NPI (MICHAEL ALAN COLSON CCMC) exists in 1659088227 in HTML format HTML  |  1659088227 in plain Text format TXT  |  1659088227 in PDF (Portable Document Format) PDF  |  1659088227 in an XML format XML  formats.

NPI Number : 1659088227 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1659088227",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "COLSON",
    "FirstName": "MICHAEL",
    "MiddleName": "ALAN",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "CCMC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "HC 3 BOX 4673",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "KEAAU",
    "MailingAddressStateName": "HI",
    "MailingAddressPostalCode": "96749-9605",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "808-896-2112",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "16-329 POHAKU DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "KEAAU",
    "PracticeLocationAddressStateName": "HI",
    "PracticeLocationAddressPostalCode": "96749-9674",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "808-315-1532",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/02/2022",
    "LastUpdateDate": "11/02/2022",
    "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": "171M00000X",
        "TaxonomyName": "Case Manager/Care Coordinator",
        "LicenseNumber": "4247012",
        "LicenseNumberStateCode": "NJ",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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