NPI Code Detail JSON Logo

1972880672 NPI number — GILBERT O CATRON LAT, ATC, CSP, EMTP

NPI Number: 1972880672
Health Care Provider/Practitioner: GILBERT O CATRON LAT, ATC, CSP, EMTP

Information about “1972880672” NPI (GILBERT O CATRON LAT, ATC, CSP, EMTP) exists in 1972880672 in HTML format HTML  |  1972880672 in plain Text format TXT  |  1972880672 in PDF (Portable Document Format) PDF  |  1972880672 in an XML format XML  formats.

NPI Number : 1972880672 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1972880672",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CATRON",
    "FirstName": "GILBERT",
    "MiddleName": "O",
    "NamePrefix": "MR.",
    "NameSuffix": null,
    "Credential": "LAT, ATC, CSP, EMTP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "708 UNITY RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PRINCETON",
    "MailingAddressStateName": "WV",
    "MailingAddressPostalCode": "24739-8574",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "703-296-2518",
    "MailingAddressFaxNumber": "304-384-7267",
    "FirstLinePracticeLocationAddress": "195 ROSE ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HINTON",
    "PracticeLocationAddressStateName": "WV",
    "PracticeLocationAddressPostalCode": "25951-2696",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "724-332-5477",
    "PracticeLocationAddressFaxNumber": "724-332-5477",
    "EnumerationDate": "11/08/2011",
    "LastUpdateDate": "05/19/2025",
    "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": "2255A2300X",
          "TaxonomyName": "Athletic Trainer",
          "LicenseNumber": "0126000038",
          "LicenseNumberStateCode": "VA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "2255A2300X",
          "TaxonomyName": "Athletic Trainer",
          "LicenseNumber": "AT001921",
          "LicenseNumberStateCode": "WV",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X 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."
      }
    }
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.