{"npi":"1043492655","type":"NPI-2","status":"active","name":{"display":"Total Health Physician Group LLC","other":[],"organization_name":"TOTAL HEALTH PHYSICIAN GROUP LLC","authorised_official":"Robert Spady"},"specialty":{"primary_taxonomy":"261QM1300X","primary_taxonomy_description":"Multi-Specialty Clinic/Center","slug":"multi-specialty-clinic-center","schema_org_specialty":null,"all":[{"code":"207Q00000X","description":"Family Medicine","primary":false,"state":null,"license":null},{"code":"261QM1300X","description":"Multi-Specialty Clinic/Center","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"619 S WASHINGTON ST","city":"MOSCOW","state":"ID","postal_code":"838433090","country_code":"US","street_2":"SUITE 203","phone":"2088921346","fax":"2088928306"},{"purpose":"MAILING","street_1":"619 S WASHINGTON ST STE 203","city":"MOSCOW","state":"ID","postal_code":"838433063","country_code":"US","phone":"2088921346","fax":"2088928306"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20080318000369","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"ID","pac_id":"0648356543"},{"enrlmt_id":"O20080408000578","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"WA","pac_id":"0648356543"}]},"enumeration_date":"2007-12-05","last_updated":"2021-03-11","_meta":{"source":"NPPES","snapshot_date":"2021-03-11","doc_url":"https://findmynpi.com/api"}}