NPI Code Detail JSON Logo

1871874859 NPI number — EZE FAMILY HEALTH CENTER, INC.

NPI Number: 1871874859
Health Care Provider/Practitioner: EZE FAMILY HEALTH CENTER, INC.

Information about “1871874859” NPI (EZE FAMILY HEALTH CENTER, INC.) exists in 1871874859 in HTML format HTML  |  1871874859 in plain Text format TXT  |  1871874859 in PDF (Portable Document Format) PDF  |  1871874859 in an XML format XML  formats.

NPI Number : 1871874859 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1871874859",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "EZE FAMILY HEALTH CENTER, INC.",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "11750 BUSINESS PARK DR",
    "SecondLineMailingAddress": "SUITE 103",
    "MailingAddressCityName": "WALDORF",
    "MailingAddressStateName": "MD",
    "MailingAddressPostalCode": "20601-2907",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "301-323-3921",
    "MailingAddressFaxNumber": "888-519-5179",
    "FirstLinePracticeLocationAddress": "11750 BUSINESS PARK DR",
    "SecondLinePracticeLocationAddress": "SUITE 103",
    "PracticeLocationAddressCityName": "WALDORF",
    "PracticeLocationAddressStateName": "MD",
    "PracticeLocationAddressPostalCode": "20601-2907",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "301-323-3921",
    "PracticeLocationAddressFaxNumber": "888-519-5179",
    "EnumerationDate": "09/02/2011",
    "LastUpdateDate": "10/20/2011",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "EZE",
    "AuthorizedOfficialFirstName": "CHINYERE",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "MEDICAL PRACTITIONER / CEO",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "PA-C",
    "AuthorizedOfficialTelephoneNumber": "301-323-3921",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "363AM0700X",
          "TaxonomyName": "Medical Physician Assistant",
          "LicenseNumber": "C0004111",
          "LicenseNumberStateCode": "MD",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261Q00000X",
          "TaxonomyName": "Clinic/Center",
          "LicenseNumber": "D0037088",
          "LicenseNumberStateCode": "MD",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261Q00000X",
          "TaxonomyName": "Clinic/Center",
          "LicenseNumber": "D69441",
          "LicenseNumberStateCode": "MD",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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