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1730115999 NPI number — THOMAS EAMON RENAGHAN MD

NPI Number: 1730115999
Health Care Provider/Practitioner: THOMAS EAMON RENAGHAN MD

Information about “1730115999” NPI (THOMAS EAMON RENAGHAN MD) exists in 1730115999 in HTML format HTML  |  1730115999 in plain Text format TXT  |  1730115999 in PDF (Portable Document Format) PDF  |  1730115999 in an XML format XML  formats.

NPI Number : 1730115999 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1730115999",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "RENAGHAN",
    "FirstName": "THOMAS",
    "MiddleName": "EAMON",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2525 S DOWNING ST. UNIT 1 SOUTH",
    "SecondLineMailingAddress": "PORTER ADVENTIST HOSPITAL",
    "MailingAddressCityName": "DENVER",
    "MailingAddressStateName": "CO",
    "MailingAddressPostalCode": "80210-5876",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "303-778-5811",
    "MailingAddressFaxNumber": "303-765-3792",
    "FirstLinePracticeLocationAddress": "2525 S DOWNING ST. UNIT 1 SOUTH",
    "SecondLinePracticeLocationAddress": "PORTER ADVENTIST HOSPITAL",
    "PracticeLocationAddressCityName": "DENVER",
    "PracticeLocationAddressStateName": "CO",
    "PracticeLocationAddressPostalCode": "80210-5876",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "303-778-5811",
    "PracticeLocationAddressFaxNumber": "303-765-3792",
    "EnumerationDate": "06/22/2006",
    "LastUpdateDate": "08/19/2008",
    "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": "2084P0800X",
          "TaxonomyName": "Psychiatry Physician",
          "LicenseNumber": "J2274",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "208M00000X",
          "TaxonomyName": "Hospitalist Physician",
          "LicenseNumber": "46633",
          "LicenseNumberStateCode": "CO",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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