{
"Npi": {
"NPI": "1689064396",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "SCIAUDONE",
"FirstName": "MICHAEL",
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": "MD",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "SCIAUDONE",
"OtherFirstName": "MICHELE",
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "1430 TULANE AVE # 8987",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "NEW ORLEANS",
"MailingAddressStateName": "LA",
"MailingAddressPostalCode": "70112-2632",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "504-988-7316",
"MailingAddressFaxNumber": "504-988-3644",
"FirstLinePracticeLocationAddress": "1430 TULANE AVE",
"SecondLinePracticeLocationAddress": "SL-50",
"PracticeLocationAddressCityName": "NEW ORLEANS",
"PracticeLocationAddressStateName": "LA",
"PracticeLocationAddressPostalCode": "70112-2632",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "504-988-7809",
"PracticeLocationAddressFaxNumber": "504-988-3971",
"EnumerationDate": "02/02/2015",
"LastUpdateDate": "09/07/2022",
"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": "207RI0200X",
"TaxonomyName": "Infectious Disease Physician",
"LicenseNumber": "333211",
"LicenseNumberStateCode": "LA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}