{
"Npi": {
"NPI": "1013235894",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "MASSOUD B. ALIZADEH M.D.,PA",
"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": "240 FREDERICK ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "HAGERSTOWN",
"MailingAddressStateName": "MD",
"MailingAddressPostalCode": "21740-6100",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "301-739-8049",
"MailingAddressFaxNumber": "301-733-3287",
"FirstLinePracticeLocationAddress": "240 FREDERICK ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "HAGERSTOWN",
"PracticeLocationAddressStateName": "MD",
"PracticeLocationAddressPostalCode": "21740-6100",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "301-739-8049",
"PracticeLocationAddressFaxNumber": "301-733-3287",
"EnumerationDate": "05/04/2010",
"LastUpdateDate": "05/04/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ALIZADEH",
"AuthorizedOfficialFirstName": "MASSOUD",
"AuthorizedOfficialMiddleName": "B",
"AuthorizedOfficialTitle": "PHYSICIAN",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "M.D",
"AuthorizedOfficialTelephoneNumber": "301-739-8049",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261Q00000X",
"TaxonomyName": "Clinic/Center",
"LicenseNumber": "D14800",
"LicenseNumberStateCode": "MD",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}