NPI Code Detail JSON Logo

1851582043 NPI number — SARAH MOLLIE SHABOT MD

NPI Number: 1851582043
Health Care Provider/Practitioner: SARAH MOLLIE SHABOT MD

Information about “1851582043” NPI (SARAH MOLLIE SHABOT MD) exists in 1851582043 in HTML format HTML  |  1851582043 in plain Text format TXT  |  1851582043 in PDF (Portable Document Format) PDF  |  1851582043 in an XML format XML  formats.

NPI Number : 1851582043 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1851582043",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SHABOT",
    "FirstName": "SARAH",
    "MiddleName": "MOLLIE",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MUSLIN",
    "OtherFirstName": "SARAH",
    "OtherMiddleName": "SHABOT",
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": "M.D.",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "10 TRADEWINDS DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "GALVESTON",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "77554-9358",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "409-392-6487",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "301 UNIVERSITY BLVD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "GALVESTON",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "77555-0462",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "409-772-1221",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/05/2007",
    "LastUpdateDate": "01/11/2008",
    "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": "207L00000X",
        "TaxonomyName": "Anesthesiology Physician",
        "LicenseNumber": "BP1-0026257",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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