NPI Code Detail JSON Logo

1891659629 NPI number — THOMAS JAMES LOCKHART PA

NPI Number: 1891659629
Health Care Provider/Practitioner: THOMAS JAMES LOCKHART PA

Information about “1891659629” NPI (THOMAS JAMES LOCKHART PA) exists in 1891659629 in HTML format HTML  |  1891659629 in plain Text format TXT  |  1891659629 in PDF (Portable Document Format) PDF  |  1891659629 in an XML format XML  formats.

NPI Number : 1891659629 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1891659629",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LOCKHART",
    "FirstName": "THOMAS",
    "MiddleName": "JAMES",
    "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": "1455 WAGAR AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LAKEWOOD",
    "MailingAddressStateName": "OH",
    "MailingAddressPostalCode": "44107-3638",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "440-313-7719",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "33300 CLEVELAND CLINIC BLVD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "AVON",
    "PracticeLocationAddressStateName": "OH",
    "PracticeLocationAddressPostalCode": "44011-1172",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "440-695-5000",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "12/15/2025",
    "LastUpdateDate": "12/15/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "363A00000X",
        "TaxonomyName": "Physician Assistant",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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