{"result_count":1,"results":[{"addresses":[{"address_1":"3901 UNIVERSITY BLVD S STE 112","address_purpose":"MAILING","address_type":"DOM","city":"JACKSONVILLE","country_code":"US","country_name":"United States","postal_code":"322164312","state":"FL","telephone_number":"904-486-5466"},{"address_1":"3901 UNIVERSITY BLVD S STE 112","address_purpose":"LOCATION","address_type":"DOM","city":"JACKSONVILLE","country_code":"US","country_name":"United States","postal_code":"322164312","state":"FL","telephone_number":"904-486-5466"}],"basic":{"certification_date":"2025-02-12","credential":"MD","enumeration_date":"2005-08-24","first_name":"RUSSELL","last_name":"SMITH","last_updated":"2025-02-12","middle_name":"BURTON","sex":"M","sole_proprietor":"NO","status":"A"},"created_epoch":"1124899077000","endpoints":[],"enumeration_type":"NPI-1","identifiers":[{"code":"05","desc":"MEDICAID","identifier":"0212142","issuer":null,"state":"IA"},{"code":"05","desc":"MEDICAID","identifier":"10025044400","issuer":null,"state":"NE"},{"code":"05","desc":"MEDICAID","identifier":"1134112261","issuer":null,"state":"IA"},{"code":"01","desc":"Other (non-Medicare)","identifier":"19770","issuer":"Wellmark BCBS","state":"IA"},{"code":"05","desc":"MEDICAID","identifier":"47078557504","issuer":null,"state":"NE"}],"last_updated_epoch":"1739373708000","number":"1134112261","other_names":[],"practiceLocations":[{"address_1":"1301 PALM AVE","address_purpose":"LOCATION","address_type":"DOM","city":"JACKSONVILLE","country_code":"US","country_name":"United States","fax_number":"904-202-7433","postal_code":"322078432","state":"FL","telephone_number":"904-202-7300"}],"taxonomies":[{"code":"207YX0007X","desc":"Otolaryngology, Plastic Surgery within the Head & Neck","license":"ME134346","primary":false,"state":"FL","taxonomy_group":""},{"code":"207Y00000X","desc":"Otolaryngology","license":"ME134346","primary":true,"state":"FL","taxonomy_group":""},{"code":"207Y00000X","desc":"Otolaryngology","license":"24197","primary":false,"state":"NE","taxonomy_group":""}]}]}