{
"Npi": {
"NPI": "1962462325",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "MISKEN CONSULTING INC",
"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": "30701 LORAIN RD STE A",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "NORTH OLMSTED",
"MailingAddressStateName": "OH",
"MailingAddressPostalCode": "44070-6325",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "440-274-5000",
"MailingAddressFaxNumber": "440-716-8608",
"FirstLinePracticeLocationAddress": "5340 LAMBERT RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "GROVE CITY",
"PracticeLocationAddressStateName": "OH",
"PracticeLocationAddressPostalCode": "43123-8946",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "614-539-9006",
"PracticeLocationAddressFaxNumber": "614-539-0886",
"EnumerationDate": "03/28/2006",
"LastUpdateDate": "01/11/2016",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "WRITESEL",
"AuthorizedOfficialFirstName": "KENNETH",
"AuthorizedOfficialMiddleName": "A",
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "DO",
"AuthorizedOfficialTelephoneNumber": "614-539-9006",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "207QG0300X",
"TaxonomyName": "Geriatric Medicine (Family Medicine) Physician",
"LicenseNumber": "34-004278",
"LicenseNumberStateCode": "OH",
"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."
}
}
}
}