{
"Npi": {
"NPI": "1851311195",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "FEINBERG",
"FirstName": "EDGAR",
"MiddleName": "L",
"NamePrefix": null,
"NameSuffix": "II",
"Credential": "M.D.",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "FEINBERG",
"OtherFirstName": "EDGAR",
"OtherMiddleName": "L",
"OtherNamePrefix": null,
"OtherNameSuffix": "II",
"OtherCredential": "M.D.",
"OtherLastNameTypeCode": "2",
"FirstLineMailingAddress": "312 GRAMMONT ST STE 410",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MONROE",
"MailingAddressStateName": "LA",
"MailingAddressPostalCode": "71201-7411",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "318-966-6300",
"MailingAddressFaxNumber": "318-966-6301",
"FirstLinePracticeLocationAddress": "312 GRAMMONT ST STE 410",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "MONROE",
"PracticeLocationAddressStateName": "LA",
"PracticeLocationAddressPostalCode": "71201-7411",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "318-966-6300",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "07/20/2006",
"LastUpdateDate": "02/09/2021",
"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": "207R00000X",
"TaxonomyName": "Internal Medicine Physician",
"LicenseNumber": "017672",
"LicenseNumberStateCode": "LA",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "208600000X",
"TaxonomyName": "Surgery Physician",
"LicenseNumber": "017672",
"LicenseNumberStateCode": "LA",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "208G00000X",
"TaxonomyName": "Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician",
"LicenseNumber": "017672",
"LicenseNumberStateCode": "LA",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}