{
"Npi": {
"NPI": "1740472869",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "CAGIANNOS",
"FirstName": "CATHERINE",
"MiddleName": null,
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "97 CASTLEGROVE BLVD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LONDON",
"MailingAddressStateName": "ONTARIO",
"MailingAddressPostalCode": "N6G3T3",
"MailingAddressCountryCode": "CA",
"MailingAddressTelephoneNumber": "15196574783",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "97 CASTLEGROVE BLVD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "LONDON",
"PracticeLocationAddressStateName": "ONTARIO",
"PracticeLocationAddressPostalCode": "N6G3T3",
"PracticeLocationAddressCountryCode": "CA",
"PracticeLocationAddressTelephoneNumber": "15196574783",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "08/13/2007",
"LastUpdateDate": "08/13/2007",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "2085R0204X",
"TaxonomyName": "Vascular & Interventional Radiology Physician",
"LicenseNumber": "35.083528C",
"LicenseNumberStateCode": "OH",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "208600000X",
"TaxonomyName": "Surgery Physician",
"LicenseNumber": "34950",
"LicenseNumberStateCode": "TN",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "2086S0102X",
"TaxonomyName": "Surgical Critical Care Physician",
"LicenseNumber": "34950",
"LicenseNumberStateCode": "TN",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "2086S0127X",
"TaxonomyName": "Trauma Surgery Physician",
"LicenseNumber": "34950",
"LicenseNumberStateCode": "TN",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "2086S0129X",
"TaxonomyName": "Vascular Surgery Physician",
"LicenseNumber": "35.083528C",
"LicenseNumberStateCode": "OH",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}