{"npi":"1730929464","type":"NPI-2","status":"active","name":{"display":"Cleveland Medical Management LLC","other":[],"organization_name":"CLEVELAND MEDICAL MANAGEMENT LLC","authorised_official":"Corby Johnson"},"specialty":{"primary_taxonomy":"207RN0300X","primary_taxonomy_description":"Nephrology Physician","slug":"nephrology-physician","schema_org_specialty":null,"all":[{"code":"207RC0000X","description":"Cardiovascular Disease","primary":false,"state":null,"license":null},{"code":"207RE0101X","description":"Endocrinology, Diabetes & Metabolism Physician","primary":false,"state":null,"license":null},{"code":"207RN0300X","description":"Nephrology Physician","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"700 MONROE RD","city":"LEBANON","state":"OH","postal_code":"450361409","country_code":"US","phone":"5134656268"},{"purpose":"MAILING","street_1":"PO BOX 286","city":"TRENTON","state":"OH","postal_code":"450670286","country_code":"US"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20241016003126","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"OH","pac_id":"1052843927"}]},"enumeration_date":"2024-05-30","last_updated":"2024-05-30","_meta":{"source":"NPPES","snapshot_date":"2024-05-30","doc_url":"https://findmynpi.com/api"}}