{
"Npi": {
"NPI": "1023364486",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "THE OHIO STATE UNIVERSITY WEXNER MEDICAL CENTER",
"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": "5776 PARKSIDE XING",
"SecondLineMailingAddress": "APT/SUITE",
"MailingAddressCityName": "DUBLIN",
"MailingAddressStateName": "OH",
"MailingAddressPostalCode": "43016-9374",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "216-534-8688",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1670 UPHAM DR",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "COLUMBUS",
"PracticeLocationAddressStateName": "OH",
"PracticeLocationAddressPostalCode": "43210-1250",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "614-293-9600",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "08/02/2012",
"LastUpdateDate": "08/02/2012",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "RHOADES",
"AuthorizedOfficialFirstName": "JANET",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "RESIDENCY COORDINATOR",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "614-293-4540",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "283Q00000X",
"TaxonomyName": "Psychiatric Hospital",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}