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1962653238 NPI number — OAKLAND ANESTHESIA CARE ASSOCIATES PLLC

NPI Number: 1962653238
Health Care Provider/Practitioner: OAKLAND ANESTHESIA CARE ASSOCIATES PLLC

Information about “1962653238” NPI (OAKLAND ANESTHESIA CARE ASSOCIATES PLLC) exists in 1962653238 in HTML format HTML  |  1962653238 in plain Text format TXT  |  1962653238 in PDF (Portable Document Format) PDF  |  1962653238 in an XML format XML  formats.

NPI Number : 1962653238 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1962653238",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "OAKLAND ANESTHESIA CARE ASSOCIATES PLLC",
    "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": "PO BOX 210339",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "AUBURN HILLS",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "48321-0339",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "248-396-0171",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "50 N PERRY ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PONTIAC",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "48342-2217",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "248-396-0171",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/06/2008",
    "LastUpdateDate": "12/21/2011",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "URBANOWSKI",
    "AuthorizedOfficialFirstName": "PAUL",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "D.O.",
    "AuthorizedOfficialTelephoneNumber": "248-396-0171",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "207L00000X",
          "TaxonomyName": "Anesthesiology Physician",
          "LicenseNumber": null,
          "LicenseNumberStateCode": "MI",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "367500000X",
          "TaxonomyName": "Certified Registered Nurse Anesthetist",
          "LicenseNumber": null,
          "LicenseNumberStateCode": "MI",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
        }
      ]
    }
  }
}
                
            

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