{"npi":"1053304097","type":"NPI-1","status":"active","name":{"display":"Mark Moeller MD","other":[],"first":"MARK","last":"MOELLER","middle":"B","credential":"MD"},"specialty":{"primary_taxonomy":"207R00000X","primary_taxonomy_description":"Internal Medicine","slug":"internal-medicine","schema_org_specialty":"Internal","all":[{"code":"207R00000X","description":"Internal Medicine","primary":true,"state":"NC","license":"25731"},{"code":"207RI0200X","description":"Infectious Disease","primary":false,"state":"NC","license":"25731"}]},"addresses":[{"purpose":"LOCATION","street_1":"137 MEDICAL LANE","city":"POLLOCKSVILLE","state":"NC","postal_code":"28573","country_code":"US","phone":"2526331010","fax":"2522243071"},{"purpose":"MAILING","street_1":"PO BOX 896206","city":"CHARLOTTE","state":"NC","postal_code":"282896206","country_code":"US","phone":"2526331010","fax":"2522243071"}],"license":{"state":"NC","number":"25731"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"8959922","state":"NC","issuer":null},{"type_code":"01","label":"Other","value":"202672E","state":"NC","issuer":"MEDICARE PTAN"},{"type_code":"01","label":"Other","value":"59922","state":"NC","issuer":"BLUE CROSS"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20050517000990","type_code":"14-11","type_desc":"PRACTITIONER - INTERNAL MEDICINE","state":"NC","pac_id":"1254372576"}]},"enumeration_date":"2005-08-24","last_updated":"2022-03-18","_meta":{"source":"NPPES","snapshot_date":"2022-03-18","doc_url":"https://findmynpi.com/api"}}