{
"Npi": {
"NPI": "1336288752",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "L THOMAS CASHIO MD & MARK JUNEAU JR MD,PC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "920 AVENUE B",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MARRERO",
"MailingAddressStateName": "LA",
"MailingAddressPostalCode": "70072-3112",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "504-349-6804",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "920 AVENUE B",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "MARRERO",
"PracticeLocationAddressStateName": "LA",
"PracticeLocationAddressPostalCode": "70072-3112",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "504-349-6804",
"PracticeLocationAddressFaxNumber": "504-349-6844",
"EnumerationDate": "02/05/2007",
"LastUpdateDate": "05/29/2024",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": "09/26/2023",
"NPIReactivationDate": "10/24/2023",
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "WAX",
"AuthorizedOfficialFirstName": "BARTON",
"AuthorizedOfficialMiddleName": "LLOYD",
"AuthorizedOfficialTitle": "MANAGING PARTNER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": "JR.",
"AuthorizedOfficialCredential": "M.D.",
"AuthorizedOfficialTelephoneNumber": "504-579-6945",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "207X00000X",
"TaxonomyName": "Orthopaedic Surgery Physician",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"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."
}
}
}
}