Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 0101243840 | VA |
N | 2080N0001X | Neonatal-Perinatal Doctor | 0101243840 | VA |
N | 2080P0203X | Pediatric Critical Care Doctor | DR0057057 | CO |
Y | 2080P0203X | Pediatric Critical Care Doctor | P9418 | TX |
N | 2080P0204X | Pediatric Emergency Doctor | 0101243840 | VA |
NPI | 1053585620 |
---|---|
Provider Name | Dr. Michael S. Northrop |
First Address | San Antonio, TX 78207-3108 |
Second Address | San Antonio, TX 78207-3108 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/04/2008 |
Last Update Date | 20/01/2017 |