{
"Npi": {
"NPI": "1700196615",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "TOMAS E. VIGO PAREDES PLLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "132 GILCHRIST AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "TORNADO",
"MailingAddressStateName": "WV",
"MailingAddressPostalCode": "25202-9640",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "304-756-3143",
"MailingAddressFaxNumber": "304-756-3143",
"FirstLinePracticeLocationAddress": "40 SHAE AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "CHAPMANVILLE",
"PracticeLocationAddressStateName": "WV",
"PracticeLocationAddressPostalCode": "25508-9805",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "304-855-2211",
"PracticeLocationAddressFaxNumber": "304-855-2213",
"EnumerationDate": "10/13/2010",
"LastUpdateDate": "04/01/2011",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "VIGO PAREDES",
"AuthorizedOfficialFirstName": "TOMAS",
"AuthorizedOfficialMiddleName": "E.",
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "M.D.",
"AuthorizedOfficialTelephoneNumber": "304-756-3143",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QP2300X",
"TaxonomyName": "Primary Care Clinic/Center",
"LicenseNumber": "17682",
"LicenseNumberStateCode": "WV",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}