{"npi":"1093883142","type":"NPI-1","status":"active","name":{"display":"Michael Sullivan M.D.","other":[],"first":"MICHAEL","last":"SULLIVAN","middle":"E","credential":"M.D."},"specialty":{"primary_taxonomy":"207Q00000X","primary_taxonomy_description":"Family Medicine","slug":"family-medicine","schema_org_specialty":"PrimaryCare","all":[{"code":"207Q00000X","description":"Family Medicine","primary":true,"state":"WI","license":"46656"}]},"addresses":[{"purpose":"LOCATION","street_1":"127 HOSPITAL DR","city":"WATERTOWN","state":"WI","postal_code":"530983303","country_code":"US","phone":"9202618500"},{"purpose":"MAILING","street_1":"127 HOSPITAL DR","city":"WATERTOWN","state":"WI","postal_code":"530983303","country_code":"US","phone":"9202618500","fax":"9202618828"}],"license":{"state":"WI","number":"46656"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"34560600","state":"WI","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20040701000385","type_code":"14-08","type_desc":"PRACTITIONER - FAMILY PRACTICE","state":"WI","pac_id":"1153308887"}]},"enumeration_date":"2006-11-30","last_updated":"2022-04-07","_meta":{"source":"NPPES","snapshot_date":"2022-04-07","doc_url":"https://findmynpi.com/api"}}