NPI Code Detail JSON Logo

1851165625 NPI number — SUBOXONET MEDICAL GROUP LLC

NPI Number: 1851165625
Health Care Provider/Practitioner: SUBOXONET MEDICAL GROUP LLC

Information about “1851165625” NPI (SUBOXONET MEDICAL GROUP LLC) exists in 1851165625 in HTML format HTML  |  1851165625 in plain Text format TXT  |  1851165625 in PDF (Portable Document Format) PDF  |  1851165625 in an XML format XML  formats.

NPI Number : 1851165625 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1851165625",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "SUBOXONET MEDICAL GROUP LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "201 SAINT CHARLES AVE STE 2500",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NEW ORLEANS",
    "MailingAddressStateName": "LA",
    "MailingAddressPostalCode": "70170-2500",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "800-825-3905",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "201 SAINT CHARLES AVE STE 2500",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NEW ORLEANS",
    "PracticeLocationAddressStateName": "LA",
    "PracticeLocationAddressPostalCode": "70170-2500",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "800-825-3905",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/13/2023",
    "LastUpdateDate": "07/23/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "RAMSEY",
    "AuthorizedOfficialFirstName": "ADAM",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "MEDICAL DIRECTOR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MD",
    "AuthorizedOfficialTelephoneNumber": "607-454-2296",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "324500000X",
          "TaxonomyName": "Substance Abuse Rehabilitation Facility",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261QP2300X",
          "TaxonomyName": "Primary Care Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207QA0401X",
          "TaxonomyName": "Addiction Medicine (Family Medicine) Physician",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
      }
    }
  }
}
                
            

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