{"npi":"1275586240","type":"NPI-2","status":"active","name":{"display":"Northern Neck Surgical Services","other":[],"organization_name":"NORTHERN NECK SURGICAL SERVICES","authorised_official":"Steven Oltermann"},"specialty":{"primary_taxonomy":"174400000X","primary_taxonomy_description":"Specialist","slug":"specialist","schema_org_specialty":null,"all":[{"code":"174400000X","description":"Specialist","primary":true,"state":"VA","license":"0101039744"}]},"addresses":[{"purpose":"LOCATION","street_1":"95 HARRIS RD","city":"KILMARNOCK","state":"VA","postal_code":"224823845","country_code":"US","street_2":"BUILDING 1","phone":"8044351608","fax":"8044353872"},{"purpose":"MAILING","street_1":"PO BOX 1955","city":"KILMARNOCK","state":"VA","postal_code":"224821955","country_code":"US","phone":"8044351608","fax":"8044353872"}],"license":{"state":"VA","number":"0101039744"},"identifiers":[{"type_code":"01","label":"Other","value":"079266","state":"VA","issuer":"ANTHEM"},{"type_code":"01","label":"Other","value":"60723","state":"VA","issuer":"SOUTHERN HEALTH"},{"type_code":"05","label":"Medicaid","value":"7312768","state":"VA","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-05-18","last_updated":"2020-08-22","_meta":{"source":"NPPES","snapshot_date":"2020-08-22","doc_url":"https://findmynpi.com/api"}}