{
"Npi": {
"NPI": "1306084082",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "DERMATOLOGY OF CENTRAL OHIO, 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": "161 CLINT DRIVE",
"SecondLineMailingAddress": "SUITE 100",
"MailingAddressCityName": "PICKERINGTON",
"MailingAddressStateName": "OH",
"MailingAddressPostalCode": "43147",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "614-866-8535",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "161 CLINT DRIVE",
"SecondLinePracticeLocationAddress": "SUITE 100",
"PracticeLocationAddressCityName": "PICKERINGTON",
"PracticeLocationAddressStateName": "OH",
"PracticeLocationAddressPostalCode": "43147",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "614-866-8535",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "02/03/2009",
"LastUpdateDate": "02/03/2009",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HOLSINGER",
"AuthorizedOfficialFirstName": "JOHN",
"AuthorizedOfficialMiddleName": "MICHAEL",
"AuthorizedOfficialTitle": "DERMATOLOGIST",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "D.O.",
"AuthorizedOfficialTelephoneNumber": "614-832-2403",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261Q00000X",
"TaxonomyName": "Clinic/Center",
"LicenseNumber": "34008980",
"LicenseNumberStateCode": "OH",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}