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1821709718 NPI number — PEIGHTON ANDREW PA-C

NPI Number: 1821709718
Health Care Provider/Practitioner: PEIGHTON ANDREW PA-C

Information about “1821709718” NPI (PEIGHTON ANDREW PA-C) exists in 1821709718 in HTML format HTML  |  1821709718 in plain Text format TXT  |  1821709718 in PDF (Portable Document Format) PDF  |  1821709718 in an XML format XML  formats.

NPI Number : 1821709718 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1821709718",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ANDREW",
    "FirstName": "PEIGHTON",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PA-C",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "GILBERT",
    "OtherFirstName": "PEIGHTON",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "6136 BLUFF ACRES DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "GREENWOOD",
    "MailingAddressStateName": "IN",
    "MailingAddressPostalCode": "46143-9033",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "317-652-2244",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2085 ACORN BLVD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "FRANKLIN",
    "PracticeLocationAddressStateName": "IN",
    "PracticeLocationAddressPostalCode": "46131-7306",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "317-346-2273",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "12/12/2022",
    "LastUpdateDate": "12/22/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "363A00000X",
        "TaxonomyName": "Physician Assistant",
        "LicenseNumber": "10004162A",
        "LicenseNumberStateCode": "IN",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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