NPI Code Detail JSON Logo

1881259620 NPI number — ELLIANA KIRSH DEVORE MD

NPI Number: 1881259620
Health Care Provider/Practitioner: ELLIANA KIRSH DEVORE MD

Information about “1881259620” NPI (ELLIANA KIRSH DEVORE MD) exists in 1881259620 in HTML format HTML  |  1881259620 in plain Text format TXT  |  1881259620 in PDF (Portable Document Format) PDF  |  1881259620 in an XML format XML  formats.

NPI Number : 1881259620 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1881259620",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DEVORE",
    "FirstName": "ELLIANA",
    "MiddleName": "KIRSH",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "KIRSH",
    "OtherFirstName": "ELLIANA",
    "OtherMiddleName": "RACHEL",
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "700 ACKERMAN RD STE 2120",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "COLUMBUS",
    "MailingAddressStateName": "OH",
    "MailingAddressPostalCode": "43202-1559",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "614-293-0363",
    "MailingAddressFaxNumber": "614-366-5808",
    "FirstLinePracticeLocationAddress": "2050 KENNY RD FL 3",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "COLUMBUS",
    "PracticeLocationAddressStateName": "OH",
    "PracticeLocationAddressPostalCode": "43221-3502",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "614-293-0363",
    "PracticeLocationAddressFaxNumber": "614-366-5808",
    "EnumerationDate": "05/07/2019",
    "LastUpdateDate": "05/15/2025",
    "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": "207Y00000X",
          "TaxonomyName": "Otolaryngology Physician",
          "LicenseNumber": "330731-01",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207Y00000X",
          "TaxonomyName": "Otolaryngology Physician",
          "LicenseNumber": "35.153204",
          "LicenseNumberStateCode": "OH",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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