{
"Npi": {
"NPI": "1851302129",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "CHERYL L . HOWARD YOUNG, DO, PC",
"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": "308 N DAVIS DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "WARNER ROBINS",
"MailingAddressStateName": "GA",
"MailingAddressPostalCode": "31093-3350",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "478-929-0068",
"MailingAddressFaxNumber": "478-929-1238",
"FirstLinePracticeLocationAddress": "308 NORTH DAVIS DR",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "WARNER ROBINS",
"PracticeLocationAddressStateName": "GA",
"PracticeLocationAddressPostalCode": "31093",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "478-929-0068",
"PracticeLocationAddressFaxNumber": "478-929-1238",
"EnumerationDate": "08/11/2006",
"LastUpdateDate": "04/08/2009",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "YOUNG",
"AuthorizedOfficialFirstName": "CHERYL",
"AuthorizedOfficialMiddleName": "L",
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "DO",
"AuthorizedOfficialTelephoneNumber": "478-929-0068",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "207V00000X",
"TaxonomyName": "Obstetrics & Gynecology Physician",
"LicenseNumber": "051574",
"LicenseNumberStateCode": "GA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}