{
"Npi": {
"NPI": "1861746893",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "WOODWARD URGENT CARE PLLC",
"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": "43344 WOODWARD AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BLOOMFIELD",
"MailingAddressStateName": "MI",
"MailingAddressPostalCode": "48302-5049",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "248-758-0730",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "43344 WOODWARD AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "BLOOMFIELD HILLS",
"PracticeLocationAddressStateName": "MI",
"PracticeLocationAddressPostalCode": "48302-5049",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "248-758-0730",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "10/29/2012",
"LastUpdateDate": "03/20/2013",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SYED",
"AuthorizedOfficialFirstName": "TARIQ",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "HEAD OF BUSINESS",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "248-758-0730",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QU0200X",
"TaxonomyName": "Urgent Care Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}