{
"Npi": {
"NPI": "1699743393",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "YORK ENDOSCOPY CENTER L.P.",
"LastName": null,
"FirstName": null,
"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": "2690 SOUTHFIELD DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "YORK",
"MailingAddressStateName": "PA",
"MailingAddressPostalCode": "17403-4510",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "717-741-1590",
"MailingAddressFaxNumber": "717-741-4774",
"FirstLinePracticeLocationAddress": "2690 SOUTHFIELD DR",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "YORK",
"PracticeLocationAddressStateName": "PA",
"PracticeLocationAddressPostalCode": "17403-4510",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "717-741-1590",
"PracticeLocationAddressFaxNumber": "717-741-4774",
"EnumerationDate": "03/09/2006",
"LastUpdateDate": "12/23/2015",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MOORE",
"AuthorizedOfficialFirstName": "TERRI",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "CLINICAL OPERATIONS ADMINISTRATOR",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "RN",
"AuthorizedOfficialTelephoneNumber": "717-741-1590",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QE0800X",
"TaxonomyName": "Endoscopy Clinic/Center",
"LicenseNumber": "119400",
"LicenseNumberStateCode": "PA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}