{
"Npi": {
"NPI": "1023492626",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "PREMIER CARDIOVASCULAR CONSULTANTS PC",
"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": "2632 S ROCHESTER RD",
"SecondLineMailingAddress": "#70306",
"MailingAddressCityName": "ROCHESTER HILLS",
"MailingAddressStateName": "MI",
"MailingAddressPostalCode": "48307-7900",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "248-480-0363",
"MailingAddressFaxNumber": "248-480-0369",
"FirstLinePracticeLocationAddress": "1629 W BIG BEAVER RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "TROY",
"PracticeLocationAddressStateName": "MI",
"PracticeLocationAddressPostalCode": "48084-3542",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "248-480-0363",
"PracticeLocationAddressFaxNumber": "248-480-0369",
"EnumerationDate": "07/13/2015",
"LastUpdateDate": "11/16/2015",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ZMILY",
"AuthorizedOfficialFirstName": "HAMMAM",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "MD",
"AuthorizedOfficialTelephoneNumber": "313-674-0034",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QM2500X",
"TaxonomyName": "Medical Specialty Clinic/Center",
"LicenseNumber": "4301085958",
"LicenseNumberStateCode": "MI",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}