{
"Npi": {
"NPI": "1336557271",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "JAMES T RYAN D O PLLC",
"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": "300 S RATH AVE",
"SecondLineMailingAddress": "SUITE 202",
"MailingAddressCityName": "LUDINGTON",
"MailingAddressStateName": "MI",
"MailingAddressPostalCode": "49431-3003",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "231-425-4447",
"MailingAddressFaxNumber": "231-425-4401",
"FirstLinePracticeLocationAddress": "300 S RATH AVE",
"SecondLinePracticeLocationAddress": "SUITE 202",
"PracticeLocationAddressCityName": "LUDINGTON",
"PracticeLocationAddressStateName": "MI",
"PracticeLocationAddressPostalCode": "49431-3003",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "231-425-4447",
"PracticeLocationAddressFaxNumber": "231-425-4401",
"EnumerationDate": "07/23/2014",
"LastUpdateDate": "07/23/2014",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "RYAN",
"AuthorizedOfficialFirstName": "JAMES",
"AuthorizedOfficialMiddleName": "T",
"AuthorizedOfficialTitle": "PHYSICAN, SOLE MBR",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "D.O",
"AuthorizedOfficialTelephoneNumber": "231-425-4447",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261Q00000X",
"TaxonomyName": "Clinic/Center",
"LicenseNumber": "510106838",
"LicenseNumberStateCode": "MI",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}