{"npi":"1114965134","type":"NPI-2","status":"active","name":{"display":"Genesis Medical Inc.","other":[],"organization_name":"GENESIS MEDICAL INC.","authorised_official":"Samuel Miller"},"specialty":{"primary_taxonomy":"332B00000X","primary_taxonomy_description":"Durable Medical Equipment & Medical Supplies","slug":"durable-medical-equipment-medical-supplies","schema_org_specialty":null,"all":[{"code":"332B00000X","description":"Durable Medical Equipment & Medical Supplies","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"1866 CAMPUS PL","city":"LOUISVILLE","state":"KY","postal_code":"402992305","country_code":"US","phone":"5028138630","fax":"5023715487"},{"purpose":"MAILING","street_1":"1866 CAMPUS PL","city":"LOUISVILLE","state":"KY","postal_code":"402992305","country_code":"US","phone":"5028138630","fax":"5023715487"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"4582393","state":"TN","issuer":null},{"type_code":"01","label":"Other","value":"1013063","state":null,"issuer":"ACM MEDICAID#"},{"type_code":"05","label":"Medicaid","value":"50001000","state":"KY","issuer":null},{"type_code":"01","label":"Other","value":"0005097517","state":null,"issuer":"AETNA PROVIDER #"},{"type_code":"05","label":"Medicaid","value":"200080970A","state":"IN","issuer":null},{"type_code":"05","label":"Medicaid","value":"4535450","state":"MI","issuer":null},{"type_code":"05","label":"Medicaid","value":"2553848","state":"OH","issuer":null},{"type_code":"01","label":"Other","value":"000000097444","state":null,"issuer":"ANTHEM BCBS #"},{"type_code":"05","label":"Medicaid","value":"9000490400","state":"KY","issuer":null},{"type_code":"05","label":"Medicaid","value":"009933653","state":"AL","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-06-02","last_updated":"2015-03-23","_meta":{"source":"NPPES","snapshot_date":"2015-03-23","doc_url":"https://findmynpi.com/api"}}