{
"Npi": {
"NPI": "1588852909",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "JAMES E LEWANDOWSKI DPM",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
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"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "820 W DIVISION ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "GRAND ISLAND",
"MailingAddressStateName": "NE",
"MailingAddressPostalCode": "68801-6542",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "308-381-7262",
"MailingAddressFaxNumber": "308-381-4672",
"FirstLinePracticeLocationAddress": "820 W DIVISION ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "GRAND ISLAND",
"PracticeLocationAddressStateName": "NE",
"PracticeLocationAddressPostalCode": "68801-6542",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "308-381-7262",
"PracticeLocationAddressFaxNumber": "308-381-4672",
"EnumerationDate": "10/10/2007",
"LastUpdateDate": "10/08/2012",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": "11/09/2007",
"NPIReactivationDate": "01/02/2008",
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "LEWANDOWSKI",
"AuthorizedOfficialFirstName": "JAMES",
"AuthorizedOfficialMiddleName": "E",
"AuthorizedOfficialTitle": "PHYSICIAN OWNER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "DPM",
"AuthorizedOfficialTelephoneNumber": "308-381-7262",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "213ES0131X",
"TaxonomyName": "Foot Surgery Podiatrist",
"LicenseNumber": "230",
"LicenseNumberStateCode": "NE",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "332B00000X",
"TaxonomyName": "Durable Medical Equipment & Medical Supplies",
"LicenseNumber": "230",
"LicenseNumberStateCode": "NE",
"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."
}
}
}
}