{"npi":"1073586897","type":"NPI-1","status":"active","name":{"display":"Dr. Robert Wildin MD","other":[],"first":"ROBERT","last":"WILDIN","middle":"S.","credential":"MD"},"specialty":{"primary_taxonomy":"207SG0201X","primary_taxonomy_description":"Clinical Genetics (M.D.) Physician","slug":"clinical-genetics-m-d-physician","schema_org_specialty":null,"all":[{"code":"207SG0201X","description":"Clinical Genetics (M.D.) Physician","primary":false,"state":"OR","license":"MD20420"},{"code":"207SG0201X","description":"Clinical Genetics (M.D.) Physician","primary":true,"state":"VT","license":"042-0013813"},{"code":"207SG0201X","description":"Clinical Genetics (M.D.) Physician","primary":false,"state":"ID","license":"M8801"}]},"addresses":[{"purpose":"LOCATION","street_1":"111 COLCHESTER AVE","city":"BURLINGTON","state":"VT","postal_code":"054011473","country_code":"US","phone":"8028470000"},{"purpose":"MAILING","street_1":"PO BOX 1063","city":"BURLINGTON","state":"VT","postal_code":"054021063","country_code":"US","phone":"8028470000"}],"license":{"state":"VT","number":"042-0013813"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"8140428","state":"WA","issuer":null},{"type_code":"05","label":"Medicaid","value":"002823400","state":"ID","issuer":null},{"type_code":"05","label":"Medicaid","value":"085514","state":"OR","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20190207001827","type_code":"14-D3","type_desc":"PRACTITIONER - MEDICAL GENETICS AND GENOMICS","state":"VT","pac_id":"9436210002"}]},"enumeration_date":"2006-02-10","last_updated":"2022-05-24","_meta":{"source":"NPPES","snapshot_date":"2022-05-24","doc_url":"https://findmynpi.com/api"}}