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1912188558 NPI number — MELINDA SEBENICK GILMORE MD

NPI Number: 1912188558
Health Care Provider/Practitioner: MELINDA SEBENICK GILMORE MD

Information about “1912188558” NPI (MELINDA SEBENICK GILMORE MD) exists in 1912188558 in HTML format HTML  |  1912188558 in plain Text format TXT  |  1912188558 in PDF (Portable Document Format) PDF  |  1912188558 in an XML format XML  formats.

NPI Number : 1912188558 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1912188558",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GILMORE",
    "FirstName": "MELINDA",
    "MiddleName": "SEBENICK",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "SEBENICK",
    "OtherFirstName": "MELINDA",
    "OtherMiddleName": null,
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "M.D.",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "1044 STATE ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SCHENECTADY",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "12307-1508",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "518-370-1441",
    "MailingAddressFaxNumber": "518-395-9431",
    "FirstLinePracticeLocationAddress": "808 W 58TH ST STE 206",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LOS ANGELES",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "90037-3632",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "323-541-1411",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/26/2007",
    "LastUpdateDate": "02/10/2025",
    "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": "207VX0000X",
          "TaxonomyName": "Obstetrics Physician",
          "LicenseNumber": "A42561",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207V00000X",
          "TaxonomyName": "Obstetrics & Gynecology Physician",
          "LicenseNumber": "A42561",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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