{
"Npi": {
"NPI": "1306028774",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "MIDWEST CONSULTING AND IME",
"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": "16412 GREEN PINES DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "WILDWOOD",
"MailingAddressStateName": "MO",
"MailingAddressPostalCode": "63011-1850",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "314-378-6071",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "763 S NEW BALLAS RD",
"SecondLinePracticeLocationAddress": "SUITE 230",
"PracticeLocationAddressCityName": "CREVE COEUR",
"PracticeLocationAddressStateName": "MO",
"PracticeLocationAddressPostalCode": "63141-8704",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "314-681-2800",
"PracticeLocationAddressFaxNumber": "314-432-5088",
"EnumerationDate": "11/28/2007",
"LastUpdateDate": "04/03/2009",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HAINZ",
"AuthorizedOfficialFirstName": "SCOTT",
"AuthorizedOfficialMiddleName": "F",
"AuthorizedOfficialTitle": "PRESIDENT/OWNER",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "DC",
"AuthorizedOfficialTelephoneNumber": "314-378-6071",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261Q00000X",
"TaxonomyName": "Clinic/Center",
"LicenseNumber": "CEO5286",
"LicenseNumberStateCode": "MO",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}