{"npi":"1023536364","type":"NPI-1","status":"active","name":{"display":"Samuel Ellis-Stockley PA-C","other":[],"first":"SAMUEL","last":"ELLIS-STOCKLEY","middle":"CHRISTOPHER","credential":"PA-C"},"specialty":{"primary_taxonomy":"363A00000X","primary_taxonomy_description":"Physician Assistant","slug":"physician-assistant","schema_org_specialty":null,"all":[{"code":"363A00000X","description":"Physician Assistant","primary":true,"state":"MI","license":"5601008376"}]},"addresses":[{"purpose":"LOCATION","street_1":"28300 ORCHARD LAKE RD STE 200","city":"FARMINGTON HILLS","state":"MI","postal_code":"483343704","country_code":"US","phone":"2485398630","fax":"2485399045"},{"purpose":"MAILING","street_1":"30986 STONE RIDGE DR APT 14201","city":"WIXOM","state":"MI","postal_code":"483933891","country_code":"US","phone":"7343084260"}],"license":{"state":"MI","number":"5601008376"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20170928003939","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"MI","pac_id":"8628343746"}]},"enumeration_date":"2017-09-07","last_updated":"2017-09-07","_meta":{"source":"NPPES","snapshot_date":"2017-09-07","doc_url":"https://findmynpi.com/api"}}