The date the provider was assigned a unique identifier (assigned an NPI). The provider other organization name codes are:
SARAH MACCHECK PEDIATRICIAN ST PETERSBURG FL CODE
The code identifying the type of other name. The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. Subparts are the components and separate physical locations of organization health care providers. 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).1 = Person: individual human being who furnishes health care.The entity type code describes the type of health care provider that is being assigned an NPI. Tamara Van De Star Md is registered as an entity type code: 1. This address may contain the same information as the provider location address.ĭr. The mailing address of the provider being identified. This address cannot include a Post Office box. For providers with more than one physical location, this is the primary location. The location address of the provider being identified. The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider. What is the National Provider Indentifier (NPI)? Pediatrics (Pediatric Emergency Medicine)
Nurse Practitioner (Neonatal, Critical Care)
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