{
"Npi": {
"NPI": "1902928831",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "ANTHONY D. RASI, D.O.",
"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": "PO BOX 1300",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BLUEFIELD",
"MailingAddressStateName": "WV",
"MailingAddressPostalCode": "24701-1300",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "276-322-5400",
"MailingAddressFaxNumber": "276-322-5557",
"FirstLinePracticeLocationAddress": "231 MEDICAL PARK DRIVE",
"SecondLinePracticeLocationAddress": "SUITE 300",
"PracticeLocationAddressCityName": "BLUEFIELD",
"PracticeLocationAddressStateName": "VA",
"PracticeLocationAddressPostalCode": "24605-2002",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "265-322-5400",
"PracticeLocationAddressFaxNumber": "276-322-5557",
"EnumerationDate": "04/04/2007",
"LastUpdateDate": "12/12/2007",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "RASI",
"AuthorizedOfficialFirstName": "ANTHONY",
"AuthorizedOfficialMiddleName": "DANIEL",
"AuthorizedOfficialTitle": "OWNER OF MEDICAL PRACTICE",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "D.O.",
"AuthorizedOfficialTelephoneNumber": "276-322-5400",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "208D00000X",
"TaxonomyName": "General Practice Physician",
"LicenseNumber": "0102201307",
"LicenseNumberStateCode": "VA",
"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."
}
}
}
}