{
"Npi": {
"NPI": "1568534816",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "KULA",
"FirstName": "AYSE",
"MiddleName": "OGE",
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "M.D",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "ERDEM",
"OtherFirstName": "AYSE",
"OtherMiddleName": "OGE",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "M.D",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "PO BOX 735044",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CHICAGO",
"MailingAddressStateName": "IL",
"MailingAddressPostalCode": "60673-5044",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "800-326-2250",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "8901 W LINCOLN AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "WEST ALLIS",
"PracticeLocationAddressStateName": "WI",
"PracticeLocationAddressPostalCode": "53227-2409",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "414-328-6000",
"PracticeLocationAddressFaxNumber": "414-649-1328",
"EnumerationDate": "11/14/2006",
"LastUpdateDate": "10/17/2024",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "207L00000X",
"TaxonomyName": "Anesthesiology Physician",
"LicenseNumber": "49591-020",
"LicenseNumberStateCode": "WI",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}