{
"Npi": {
"NPI": "1104871722",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "SAWAR'S NEUROLOGICAL INSTITUTE, PC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "PO BOX 2227",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CARBONDALE",
"MailingAddressStateName": "IL",
"MailingAddressPostalCode": "62902-2227",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "618-549-1727",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "714 E WALNUT ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "CARBONDALE",
"PracticeLocationAddressStateName": "IL",
"PracticeLocationAddressPostalCode": "62901-3103",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "618-549-1727",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "05/23/2006",
"LastUpdateDate": "07/10/2013",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SAWAR",
"AuthorizedOfficialFirstName": "AMAR",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "M.D.",
"AuthorizedOfficialTelephoneNumber": "618-549-1727",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "207RR0500X",
"TaxonomyName": "Rheumatology Physician",
"LicenseNumber": "036088861",
"LicenseNumberStateCode": "IL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}