NPI Code Detail JSON Logo

1770578973 NPI number — JOHN H SEOK M.D.

NPI Number: 1770578973
Health Care Provider/Practitioner: JOHN H SEOK M.D.

Information about “1770578973” NPI (JOHN H SEOK M.D.) exists in 1770578973 in HTML format HTML  |  1770578973 in plain Text format TXT  |  1770578973 in PDF (Portable Document Format) PDF  |  1770578973 in an XML format XML  formats.

NPI Number : 1770578973 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1770578973",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SEOK",
    "FirstName": "JOHN",
    "MiddleName": "H",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1800 E PARK AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "STATE COLLEGE",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "16803-6797",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "814-231-7000",
    "MailingAddressFaxNumber": "814-238-0790",
    "FirstLinePracticeLocationAddress": "2106 GALLOWS RD STE F",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "VIENNA",
    "PracticeLocationAddressStateName": "VA",
    "PracticeLocationAddressPostalCode": "22182-3961",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "38-283-3737",
    "PracticeLocationAddressFaxNumber": "703-828-0227",
    "EnumerationDate": "09/14/2005",
    "LastUpdateDate": "08/15/2023",
    "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": "2084N0400X",
          "TaxonomyName": "Neurology Physician",
          "LicenseNumber": "M-12257",
          "LicenseNumberStateCode": "ID",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "2084N0400X",
          "TaxonomyName": "Neurology Physician",
          "LicenseNumber": "0101233012",
          "LicenseNumberStateCode": "VA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "2084N0400X",
          "TaxonomyName": "Neurology Physician",
          "LicenseNumber": "MD60251550",
          "LicenseNumberStateCode": "WA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "2084N0400X",
          "TaxonomyName": "Neurology Physician",
          "LicenseNumber": "MD472434",
          "LicenseNumberStateCode": "PA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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