{"npi":"1619908613","type":"NPI-2","status":"active","name":{"display":"Kentuckiana Colon And Rectal Surgery, PLLC","other":[],"organization_name":"KENTUCKIANA COLON AND RECTAL SURGERY, PLLC","authorised_official":"Wayne Tuckson"},"specialty":{"primary_taxonomy":"208C00000X","primary_taxonomy_description":"Colon & Rectal Surgery Physician","slug":"colon-rectal-surgery-physician","schema_org_specialty":null,"all":[{"code":"363L00000X","description":"Nurse Practitioner","primary":false,"state":null,"license":null},{"code":"208C00000X","description":"Colon & Rectal Surgery Physician","primary":true,"state":"KY","license":"30849"}]},"addresses":[{"purpose":"LOCATION","street_1":"4121 DUTCHMANS LN","city":"LOUISVILLE","state":"KY","postal_code":"402074737","country_code":"US","street_2":"SUITE 515","phone":"5025838005"},{"purpose":"MAILING","street_1":"4121 DUTCHMANS LN","city":"LOUISVILLE","state":"KY","postal_code":"402074737","country_code":"US","street_2":"SUITE 515","phone":"5025838005"}],"license":{"state":"KY","number":"30849"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"65934739","state":"KY","issuer":null},{"type_code":"05","label":"Medicaid","value":"7100015770","state":"KY","issuer":null},{"type_code":"05","label":"Medicaid","value":"200323220A","state":"IN","issuer":null},{"type_code":"01","label":"Other","value":"CK6017","state":"KY","issuer":"RAILROAD MEDICARE"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-07-06","last_updated":"2008-08-13","_meta":{"source":"NPPES","snapshot_date":"2008-08-13","doc_url":"https://findmynpi.com/api"}}