{"npi":"1104811264","type":"NPI-1","status":"active","name":{"display":"Dr. John Bastulli M.D.","other":[],"first":"JOHN","last":"BASTULLI","middle":"A","credential":"M.D."},"specialty":{"primary_taxonomy":"207LP2900X","primary_taxonomy_description":"Anesthesiology, Pain Medicine","slug":"anesthesiology-pain-medicine","schema_org_specialty":"Anesthesia","all":[{"code":"207LP2900X","description":"Anesthesiology, Pain Medicine","primary":true,"state":"OH","license":"35-05-0645"}]},"addresses":[{"purpose":"LOCATION","street_1":"10515 CARNEGIE AVE","city":"CLEVELAND","state":"OH","postal_code":"441063016","country_code":"US","phone":"2169280136","fax":"2169280141"},{"purpose":"MAILING","street_1":"10515 CARNEGIE AVE","city":"CLEVELAND","state":"OH","postal_code":"441063016","country_code":"US","phone":"2169280136","fax":"2169280141"}],"license":{"state":"OH","number":"35-05-0645"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"0703144","state":"OH","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20101112000841","type_code":"14-05","type_desc":"PRACTITIONER - ANESTHESIOLOGY","state":"OH","pac_id":"7618880550"}]},"enumeration_date":"2005-09-15","last_updated":"2010-10-06","_meta":{"source":"NPPES","snapshot_date":"2010-10-06","doc_url":"https://findmynpi.com/api"}}