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1811330954 NPI number — MICHAEL T BAYONA M.D.

NPI Number: 1811330954
Health Care Provider/Practitioner: MICHAEL T BAYONA M.D.

Information about “1811330954” NPI (MICHAEL T BAYONA M.D.) exists in 1811330954 in HTML format HTML  |  1811330954 in plain Text format TXT  |  1811330954 in PDF (Portable Document Format) PDF  |  1811330954 in an XML format XML  formats.

NPI Number : 1811330954 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1811330954",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BAYONA",
    "FirstName": "MICHAEL",
    "MiddleName": "T",
    "NamePrefix": "MR.",
    "NameSuffix": null,
    "Credential": "M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 13",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "GREENACRES",
    "MailingAddressStateName": "WA",
    "MailingAddressPostalCode": "99016-0013",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "479-879-4375",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "525 S COWLEY ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SPOKANE",
    "PracticeLocationAddressStateName": "WA",
    "PracticeLocationAddressPostalCode": "99202-1381",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "479-879-4375",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/08/2013",
    "LastUpdateDate": "02/02/2023",
    "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": "2085R0202X",
          "TaxonomyName": "Diagnostic Radiology Physician",
          "LicenseNumber": "2020020776",
          "LicenseNumberStateCode": "MO",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "2085N0700X",
          "TaxonomyName": "Neuroradiology Physician",
          "LicenseNumber": "161916",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "2085R0202X",
          "TaxonomyName": "Diagnostic Radiology Physician",
          "LicenseNumber": "0443996",
          "LicenseNumberStateCode": "KS",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "390200000X",
          "TaxonomyName": "Student in an Organized Health Care Education/Training Program",
          "LicenseNumber": null,
          "LicenseNumberStateCode": "UT",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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