{"npi":"1104101823","type":"NPI-1","status":"active","name":{"display":"Mr. Douglas Blazer PA","other":[],"first":"DOUGLAS","last":"BLAZER","middle":"ALAN","credential":"PA"},"specialty":{"primary_taxonomy":"363AM0700X","primary_taxonomy_description":"Medical Physician Assistant","slug":"medical-physician-assistant","schema_org_specialty":null,"all":[{"code":"363AM0700X","description":"Medical Physician Assistant","primary":true,"state":"IL","license":"085004130"}]},"addresses":[{"purpose":"LOCATION","street_1":"3475 S ALPINE RD","city":"ROCKFORD","state":"IL","postal_code":"611092604","country_code":"US","phone":"8158748000"},{"purpose":"MAILING","street_1":"3475 S ALPINE RD","city":"ROCKFORD","state":"IL","postal_code":"611092604","country_code":"US","phone":"8158748000"}],"license":{"state":"IL","number":"085004130"},"identifiers":[{"type_code":"01","label":"Other","value":"085004130","state":"IL","issuer":"STATE MEDICAL LICENSE"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20111215000394","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"IL","pac_id":"9638344930"}]},"enumeration_date":"2011-10-13","last_updated":"2011-10-13","_meta":{"source":"NPPES","snapshot_date":"2011-10-13","doc_url":"https://findmynpi.com/api"}}