NPI Code Detail JSON Logo

1669982963 NPI number — OZARK PHYSICAL MEDICINE CENTER FOR OPERATIONS OZARK PLAZA AND MEDICAL

NPI Number: 1669982963
Health Care Provider/Practitioner: OZARK PHYSICAL MEDICINE CENTER FOR OPERATIONS OZARK PLAZA AND MEDICAL

Information about “1669982963” NPI (OZARK PHYSICAL MEDICINE CENTER FOR OPERATIONS OZARK PLAZA AND MEDICAL) exists in 1669982963 in HTML format HTML  |  1669982963 in plain Text format TXT  |  1669982963 in PDF (Portable Document Format) PDF  |  1669982963 in an XML format XML  formats.

NPI Number : 1669982963 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1669982963",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "OZARK PHYSICAL MEDICINE CENTER FOR OPERATIONS OZARK PLAZA AND MEDICAL",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2725 N WESTWOOD BLVD STE 16",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "POPLAR BLUFF",
    "MailingAddressStateName": "MO",
    "MailingAddressPostalCode": "63901-2367",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2725 N WESTWOOD BLVD STE 16",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "POPLAR BLUFF",
    "PracticeLocationAddressStateName": "MO",
    "PracticeLocationAddressPostalCode": "63901-2367",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "573-686-5510",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/02/2017",
    "LastUpdateDate": "10/02/2017",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "TINSLEY",
    "AuthorizedOfficialFirstName": "ASHLEY",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OWNDER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "573-686-5510",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "332B00000X",
        "TaxonomyName": "Durable Medical Equipment & Medical Supplies",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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