{
"Npi": {
"NPI": "1962612606",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "PTPEASTPOINTE,P.C.",
"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": "15200 EAST TEN MILE ROAD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "EASTPOINTE",
"MailingAddressStateName": "MI",
"MailingAddressPostalCode": "48021-1010",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "586-773-7667",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "15200 EEAST TEN MILE ROAD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "EASTPOINTE",
"PracticeLocationAddressStateName": "MI",
"PracticeLocationAddressPostalCode": "48021-1010",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "586-773-7667",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "05/23/2007",
"LastUpdateDate": "12/31/2007",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "LIPTAWAT",
"AuthorizedOfficialFirstName": "SUTHIN",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "M.D.",
"AuthorizedOfficialTelephoneNumber": "586-773-7667",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QP2300X",
"TaxonomyName": "Primary Care Clinic/Center",
"LicenseNumber": "34874",
"LicenseNumberStateCode": "MI",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}