{
"Npi": {
"NPI": "1235651555",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "Y",
"ParentOrgLBN": "CORRIGAN PODIATRY GROUP",
"ParentOrgTIN": null,
"OrgName": "CORRIGAN PODIATRY GROUP",
"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": "28687 CENTER RIDGE RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "WESTLAKE",
"MailingAddressStateName": "OH",
"MailingAddressPostalCode": "44145-3810",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "440-871-3400",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1740 COOPER FOSTER PARK RD W",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "LORAIN",
"PracticeLocationAddressStateName": "OH",
"PracticeLocationAddressPostalCode": "44053-4201",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "440-282-1221",
"PracticeLocationAddressFaxNumber": "440-960-0010",
"EnumerationDate": "07/07/2017",
"LastUpdateDate": "07/07/2017",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CORRIGAN",
"AuthorizedOfficialFirstName": "THOMAS",
"AuthorizedOfficialMiddleName": "A",
"AuthorizedOfficialTitle": "PRESIDENT/OWNER",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "DPM",
"AuthorizedOfficialTelephoneNumber": "440-871-3400",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "213ES0131X",
"TaxonomyName": "Foot Surgery Podiatrist",
"LicenseNumber": "36-003355",
"LicenseNumberStateCode": "OH",
"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."
}
}
}
}