{
"Npi": {
"NPI": "1972621944",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "LEIGH ANNE MASSEY, MD, INC.",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"OtherOrgNameTypeCode": null,
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"OtherFirstName": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "2000 EOFF ST",
"SecondLineMailingAddress": "SUITE 502",
"MailingAddressCityName": "WHEELING",
"MailingAddressStateName": "WV",
"MailingAddressPostalCode": "26003-3823",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "304-234-8030",
"MailingAddressFaxNumber": "304-234-8032",
"FirstLinePracticeLocationAddress": "2108 LUMBER AVE STE 2",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "WHEELING",
"PracticeLocationAddressStateName": "WV",
"PracticeLocationAddressPostalCode": "26003-5350",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "304-234-8030",
"PracticeLocationAddressFaxNumber": "304-234-8032",
"EnumerationDate": "03/27/2007",
"LastUpdateDate": "10/02/2019",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MASSEY",
"AuthorizedOfficialFirstName": "LEIGH ANNE",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "M.D",
"AuthorizedOfficialTelephoneNumber": "304-234-8030",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "207VG0400X",
"TaxonomyName": "Gynecology Physician",
"LicenseNumber": "17665",
"LicenseNumberStateCode": "WV",
"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."
}
}
}
}