{
"Npi": {
"NPI": "1265621403",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "EARCARE 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,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "250 N COURTENAY PKWY STE 102",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MERRITT ISLAND",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "32953-3495",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "321-452-9131",
"MailingAddressFaxNumber": "321-452-9404",
"FirstLinePracticeLocationAddress": "250 N COURTENAY PKWY STE 102",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "MERRITT ISLAND",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "32953-3495",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "321-452-9131",
"PracticeLocationAddressFaxNumber": "321-452-9404",
"EnumerationDate": "10/23/2007",
"LastUpdateDate": "10/23/2007",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "COWAN-OBERBECK",
"AuthorizedOfficialFirstName": "CATHERINE",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "AUD",
"AuthorizedOfficialTelephoneNumber": "321-452-9131",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "237600000X",
"TaxonomyName": "Audiologist-Hearing Aid Fitter",
"LicenseNumber": "AY145",
"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."
}
}
}
}