{
"Npi": {
"NPI": "1568432615",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "YANG",
"FirstName": "WEI",
"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": "P.O. BOX 957076",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ST. LOUIS",
"MailingAddressStateName": "MO",
"MailingAddressPostalCode": "63195-7076",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "347-817-7842",
"MailingAddressFaxNumber": "866-379-7504",
"FirstLinePracticeLocationAddress": "NORTHEAST IOWA PATHOLOGY ASSOCIATES, PC",
"SecondLinePracticeLocationAddress": "1825 LOGAN AVENUE",
"PracticeLocationAddressCityName": "WATERLOO",
"PracticeLocationAddressStateName": "IA",
"PracticeLocationAddressPostalCode": "50703",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "319-235-3679",
"PracticeLocationAddressFaxNumber": "319-233-0722",
"EnumerationDate": "01/23/2006",
"LastUpdateDate": "11/27/2018",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "M",
"Gender": "Male",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "207ZP0102X",
"TaxonomyName": "Anatomic Pathology & Clinical Pathology Physician",
"LicenseNumber": "35459",
"LicenseNumberStateCode": "IA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}