{
"Npi": {
"NPI": "1861216772",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "MARY BIRD PERKINS CANCER CENTER",
"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": "5215 ESSEN LN STE 200",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BATON ROUGE",
"MailingAddressStateName": "LA",
"MailingAddressPostalCode": "70809-3543",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "225-215-1281",
"MailingAddressFaxNumber": "225-215-1380",
"FirstLinePracticeLocationAddress": "4950 ESSEN LN",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "BATON ROUGE",
"PracticeLocationAddressStateName": "LA",
"PracticeLocationAddressPostalCode": "70809-3738",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "225-767-0847",
"PracticeLocationAddressFaxNumber": "225-767-1335",
"EnumerationDate": "11/08/2024",
"LastUpdateDate": "07/21/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "KRAFT",
"AuthorizedOfficialFirstName": "JACOB",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "DECISION SUPPORT MANAGER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "225-215-1281",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QM1300X",
"TaxonomyName": "Multi-Specialty Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}