{"npi":"1205933421","type":"NPI-2","status":"active","name":{"display":"Kanawha Surgicenter","other":[],"organization_name":"KANAWHA SURGICENTER","authorised_official":"Gorli Harish"},"specialty":{"primary_taxonomy":"291U00000X","primary_taxonomy_description":"Clinical Medical Laboratory","slug":"clinical-medical-laboratory","schema_org_specialty":"Pathology","all":[{"code":"291U00000X","description":"Clinical Medical Laboratory","primary":true,"state":"WV","license":"10453"}]},"addresses":[{"purpose":"LOCATION","street_1":"4803 MACCORKLE AVE SE","city":"CHARLESTON","state":"WV","postal_code":"253041948","country_code":"US","phone":"3049256390","fax":"3049257931"},{"purpose":"MAILING","street_1":"4803 MACCORKLE AVE SE","city":"CHARLESTON","state":"WV","postal_code":"253041948","country_code":"US","phone":"3049256390","fax":"3049257931"}],"license":{"state":"WV","number":"10453"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"0009812000","state":"WV","issuer":null},{"type_code":"05","label":"Medicaid","value":"0038025000","state":"WV","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-09-20","last_updated":"2020-08-22","_meta":{"source":"NPPES","snapshot_date":"2020-08-22","doc_url":"https://findmynpi.com/api"}}