{
"Npi": {
"NPI": "1265456917",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "THOMAS MEDICAL GROUP, APMC",
"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": "740 KEYSER AVE",
"SecondLineMailingAddress": "SUITE F",
"MailingAddressCityName": "NATCHITOCHES",
"MailingAddressStateName": "LA",
"MailingAddressPostalCode": "71457-6037",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "318-352-5650",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "740 KEYSER AVE",
"SecondLinePracticeLocationAddress": "SUITE F",
"PracticeLocationAddressCityName": "NATCHITOCHES",
"PracticeLocationAddressStateName": "LA",
"PracticeLocationAddressPostalCode": "71457-6037",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "318-352-5650",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "07/26/2006",
"LastUpdateDate": "08/22/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "KNECHT",
"AuthorizedOfficialFirstName": "JAMES",
"AuthorizedOfficialMiddleName": "D",
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "M.D.",
"AuthorizedOfficialTelephoneNumber": "318-352-5650",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "207Q00000X",
"TaxonomyName": "Family Medicine Physician",
"LicenseNumber": "05-800073",
"LicenseNumberStateCode": "LA",
"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."
}
}
}
}