{
"Npi": {
"NPI": "1164731782",
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"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "BARTON G. SICKINGER, D.O., P.A.",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "650 N WYMORE RD",
"SecondLineMailingAddress": "STE.# 101",
"MailingAddressCityName": "WINTER PARK",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "32789-2859",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "407-644-8668",
"MailingAddressFaxNumber": "407-644-5637",
"FirstLinePracticeLocationAddress": "650 N WYMORE RD",
"SecondLinePracticeLocationAddress": "STE.# 101",
"PracticeLocationAddressCityName": "WINTER PARK",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "32789-2859",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "407-644-8668",
"PracticeLocationAddressFaxNumber": "407-644-5637",
"EnumerationDate": "09/30/2010",
"LastUpdateDate": "09/30/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SICKINGER",
"AuthorizedOfficialFirstName": "BARTON",
"AuthorizedOfficialMiddleName": "G",
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "D.O., P.A.",
"AuthorizedOfficialTelephoneNumber": "407-644-8668",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "207RC0000X",
"TaxonomyName": "Cardiovascular Disease Physician",
"LicenseNumber": "05000-5006",
"LicenseNumberStateCode": "FL",
"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."
}
}
}
}