{
"Npi": {
"NPI": "1689694085",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "ZALESKI",
"FirstName": "SCOTT",
"MiddleName": "SAVID",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "MD",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "PO BOX 352",
"SecondLineMailingAddress": "BARKSDALE AFB, LA",
"MailingAddressCityName": "BOSSIER CITY",
"MailingAddressStateName": "LA",
"MailingAddressPostalCode": "71110",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "713-550-4942",
"MailingAddressFaxNumber": "318-456-8065",
"FirstLinePracticeLocationAddress": "243 CURTISS LN",
"SecondLinePracticeLocationAddress": "BARKSDALE AFB, LA, SUITE 100",
"PracticeLocationAddressCityName": "BOSSIER CITY",
"PracticeLocationAddressStateName": "LA",
"PracticeLocationAddressPostalCode": "71110",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "318-456-4318",
"PracticeLocationAddressFaxNumber": "318-456-4318",
"EnumerationDate": "07/20/2006",
"LastUpdateDate": "07/08/2007",
"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": "207Q00000X",
"TaxonomyName": "Family Medicine Physician",
"LicenseNumber": "H2026",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}