{"npi":"1811304595","type":"NPI-2","status":"active","name":{"display":"Providence Medical Group","other":[],"organization_name":"PROVIDENCE MEDICAL GROUP","authorised_official":"Susan Becker"},"specialty":{"primary_taxonomy":"213E00000X","primary_taxonomy_description":"Podiatry","slug":"podiatry","schema_org_specialty":"Podiatric","all":[{"code":"213E00000X","description":"Podiatry","primary":true,"state":"OH","license":"36.003657"}]},"addresses":[{"purpose":"LOCATION","street_1":"2912 SPRINGBORO RD","city":"MORAINE","state":"OH","postal_code":"454391674","country_code":"US","street_2":"SUITE 201","phone":"9372978999","fax":"9372974852"},{"purpose":"MAILING","street_1":"2912 SPRINGBORO RD","city":"MORAINE","state":"OH","postal_code":"454391674","country_code":"US","street_2":"SUITE 201","phone":"9372978999","fax":"9372974852"}],"license":{"state":"OH","number":"36.003657"},"identifiers":[{"type_code":"01","label":"Other","value":"1285952937","state":"OH","issuer":"INDIVIDUAL NPI"},{"type_code":"05","label":"Medicaid","value":"2380294","state":"OH","issuer":null},{"type_code":"05","label":"Medicaid","value":"0083030","state":"OH","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2014-07-15","last_updated":"2014-10-28","_meta":{"source":"NPPES","snapshot_date":"2014-10-28","doc_url":"https://findmynpi.com/api"}}