{
"Npi": {
"NPI": "1164866752",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "JOHN R BAIRD MD PLLC",
"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": "4683 CHABOT DR",
"SecondLineMailingAddress": "SUITE 200",
"MailingAddressCityName": "PLEASANTON",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "94588-3830",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "925-621-2902",
"MailingAddressFaxNumber": "925-522-2930",
"FirstLinePracticeLocationAddress": "3012 EASTPOINT PKWY",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "LOUISVILLE",
"PracticeLocationAddressStateName": "KY",
"PracticeLocationAddressPostalCode": "40223-4185",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "502-339-6550",
"PracticeLocationAddressFaxNumber": "502-379-8588",
"EnumerationDate": "04/25/2013",
"LastUpdateDate": "07/01/2013",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GAINOUS",
"AuthorizedOfficialFirstName": "KATI",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "PHARMACY PROGRAM ADMINISTRATOR",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "925-621-2902",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3336C0003X",
"TaxonomyName": "Community/Retail Pharmacy",
"LicenseNumber": "P07561",
"LicenseNumberStateCode": "KY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}