{
"Npi": {
"NPI": "1295067940",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "Y",
"ParentOrgLBN": "WRH PHYSICIANS, INC.",
"ParentOrgTIN": null,
"OrgName": "WRH PHYSICIANS, INC.",
"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": "PO BOX 67070",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CUYAHOGA FALLS",
"MailingAddressStateName": "OH",
"MailingAddressPostalCode": "44222-7070",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "330-923-5899",
"MailingAddressFaxNumber": "330-923-8090",
"FirstLinePracticeLocationAddress": "3913 DARROW RD",
"SecondLinePracticeLocationAddress": "SUITE 100",
"PracticeLocationAddressCityName": "STOW",
"PracticeLocationAddressStateName": "OH",
"PracticeLocationAddressPostalCode": "44224-2621",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "330-688-7900",
"PracticeLocationAddressFaxNumber": "330-688-1866",
"EnumerationDate": "02/05/2010",
"LastUpdateDate": "01/08/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "KENT",
"AuthorizedOfficialFirstName": "ROBERT",
"AuthorizedOfficialMiddleName": "A",
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": "JR.",
"AuthorizedOfficialCredential": "D.O",
"AuthorizedOfficialTelephoneNumber": "330-971-7000",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QU0200X",
"TaxonomyName": "Urgent Care Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}