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1881688257 NPI number — KATHERINE S MATHIAS PA

NPI Number: 1881688257
Health Care Provider/Practitioner: KATHERINE S MATHIAS PA

Information about “1881688257” NPI (KATHERINE S MATHIAS PA) exists in 1881688257 in HTML format HTML  |  1881688257 in plain Text format TXT  |  1881688257 in PDF (Portable Document Format) PDF  |  1881688257 in an XML format XML  formats.

NPI Number : 1881688257 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1881688257",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MATHIAS",
    "FirstName": "KATHERINE",
    "MiddleName": "S",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PA",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "11850 W MARKET PL",
    "SecondLineMailingAddress": "SUITE P",
    "MailingAddressCityName": "FULTON",
    "MailingAddressStateName": "MD",
    "MailingAddressPostalCode": "20759-2670",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "301-340-8339",
    "MailingAddressFaxNumber": "240-485-5407",
    "FirstLinePracticeLocationAddress": "15225 SHADY GROVE RD",
    "SecondLinePracticeLocationAddress": "SUITE 306B",
    "PracticeLocationAddressCityName": "ROCKVILLE",
    "PracticeLocationAddressStateName": "MD",
    "PracticeLocationAddressPostalCode": "20850-3254",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "240-401-4230",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/31/2005",
    "LastUpdateDate": "01/11/2017",
    "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": "C01617",
          "LicenseNumberStateCode": "MD",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363A00000X",
          "TaxonomyName": "Physician Assistant",
          "LicenseNumber": "C0001617",
          "LicenseNumberStateCode": "MD",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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