{"npi":"1942300801","type":"NPI-2","status":"active","name":{"display":"Columbia Park Medical Group, PA","other":[],"organization_name":"COLUMBIA PARK MEDICAL GROUP, PA","authorised_official":"Joen Condon"},"specialty":{"primary_taxonomy":"332B00000X","primary_taxonomy_description":"Durable Medical Equipment & Medical Supplies","slug":"durable-medical-equipment-medical-supplies","schema_org_specialty":null,"all":[{"code":"332B00000X","description":"Durable Medical Equipment & Medical Supplies","primary":true,"state":"MN","license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"13819 HANSON BLVD NW","city":"ANDOVER","state":"MN","postal_code":"553047608","country_code":"US","phone":"7635725710","fax":"7638624415"},{"purpose":"MAILING","street_1":"6401 UNIVERSITY AVE NE","city":"FRIDLEY","state":"MN","postal_code":"554324341","country_code":"US","phone":"7635725710","fax":"7635713008"}],"license":null,"identifiers":[{"type_code":"01","label":"Other","value":"45Q12CO","state":"MN","issuer":"BCBS DME NUMBER"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-09-22","last_updated":"2007-11-13","_meta":{"source":"NPPES","snapshot_date":"2007-11-13","doc_url":"https://findmynpi.com/api"}}