NPI Code Detail JSON Logo

1851849459 NPI number — SARAH E MCGOULDRICK PA-C

NPI Number: 1851849459
Health Care Provider/Practitioner: SARAH E MCGOULDRICK PA-C

Information about “1851849459” NPI (SARAH E MCGOULDRICK PA-C) exists in 1851849459 in HTML format HTML  |  1851849459 in plain Text format TXT  |  1851849459 in PDF (Portable Document Format) PDF  |  1851849459 in an XML format XML  formats.

NPI Number : 1851849459 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1851849459",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MCGOULDRICK",
    "FirstName": "SARAH",
    "MiddleName": "E",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "PA-C",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "KLINGEL",
    "OtherFirstName": "SARAH",
    "OtherMiddleName": "E",
    "OtherNamePrefix": "MISS",
    "OtherNameSuffix": null,
    "OtherCredential": "PA-C",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "200 E BROWN ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "EAST STROUDSBURG",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "18301-3006",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "570-420-6220",
    "MailingAddressFaxNumber": "570-420-6221",
    "FirstLinePracticeLocationAddress": "200 E BROWN ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "EAST STROUDSBURG",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "18301-3006",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "570-421-4000",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/13/2016",
    "LastUpdateDate": "10/28/2021",
    "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": "MA058484",
          "LicenseNumberStateCode": "PA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363AM0700X",
          "TaxonomyName": "Medical Physician Assistant",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363AS0400X",
          "TaxonomyName": "Surgical Physician Assistant",
          "LicenseNumber": "MA058484",
          "LicenseNumberStateCode": "PA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363AS0400X",
          "TaxonomyName": "Surgical Physician Assistant",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363AM0700X",
          "TaxonomyName": "Medical Physician Assistant",
          "LicenseNumber": "MA058484",
          "LicenseNumberStateCode": "PA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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