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1942590658 NPI number — GENESIS MEDICAL GROUP, LLC

NPI Number: 1942590658
Health Care Provider/Practitioner: GENESIS MEDICAL GROUP, LLC

Information about “1942590658” NPI (GENESIS MEDICAL GROUP, LLC) exists in 1942590658 in HTML format HTML  |  1942590658 in plain Text format TXT  |  1942590658 in PDF (Portable Document Format) PDF  |  1942590658 in an XML format XML  formats.

NPI Number : 1942590658 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1942590658",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "GENESIS MEDICAL GROUP, LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "945 BETHESDA DR STE 200",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ZANESVILLE",
    "MailingAddressStateName": "OH",
    "MailingAddressPostalCode": "43701-1880",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "740-454-4788",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2854 BELL ST STE B",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ZANESVILLE",
    "PracticeLocationAddressStateName": "OH",
    "PracticeLocationAddressPostalCode": "43701-1721",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "740-588-1091",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/14/2011",
    "LastUpdateDate": "07/24/2012",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "RAYMOND",
    "AuthorizedOfficialFirstName": "TIMOTHY",
    "AuthorizedOfficialMiddleName": "R",
    "AuthorizedOfficialTitle": "CAO OF PHYSICIAN SERVICES",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "740-454-4788",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "332B00000X",
        "TaxonomyName": "Durable Medical Equipment & Medical Supplies",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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