{
"Npi": {
"NPI": "1699793299",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "SCOTT",
"FirstName": "GEORGE",
"MiddleName": "PHILIP",
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "D.O.",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "SCOTT",
"OtherFirstName": "G.",
"OtherMiddleName": "PHILIP",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "D.O.",
"OtherLastNameTypeCode": "2",
"FirstLineMailingAddress": "933 COLUMBIA AVENUE",
"SecondLineMailingAddress": "UNIT C5",
"MailingAddressCityName": "CAPE MAY",
"MailingAddressStateName": "NJ",
"MailingAddressPostalCode": "08204-1682",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "717-880-1785",
"MailingAddressFaxNumber": "717-751-6012",
"FirstLinePracticeLocationAddress": "933 COLUMBIA AVENUE",
"SecondLinePracticeLocationAddress": "UNIT C5",
"PracticeLocationAddressCityName": "CAPE MAY",
"PracticeLocationAddressStateName": "NJ",
"PracticeLocationAddressPostalCode": "08204-1682",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "717-880-1785",
"PracticeLocationAddressFaxNumber": "717-751-6012",
"EnumerationDate": "07/18/2006",
"LastUpdateDate": "08/31/2015",
"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": "208600000X",
"TaxonomyName": "Surgery Physician",
"LicenseNumber": "OS003349L",
"LicenseNumberStateCode": "PA",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "208600000X",
"TaxonomyName": "Surgery Physician",
"LicenseNumber": "25MB03053000",
"LicenseNumberStateCode": "NJ",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}