{"npi":"1114931037","type":"NPI-1","status":"active","name":{"display":"Theodore Koh MD","other":[],"first":"THEODORE","last":"KOH","credential":"MD"},"specialty":{"primary_taxonomy":"207RG0100X","primary_taxonomy_description":"Gastroenterology","slug":"gastroenterology","schema_org_specialty":"Gastroenterologic","all":[{"code":"207RG0100X","description":"Gastroenterology","primary":true,"state":"NY","license":"226613"}]},"addresses":[{"purpose":"LOCATION","street_1":"260 TOWNSHIP BLVD","city":"CAMILLUS","state":"NY","postal_code":"130311674","country_code":"US","street_2":"STE 20","phone":"3157080091","fax":"3157080194"},{"purpose":"MAILING","street_1":"260 TOWNSHIP BLVD","city":"CAMILLUS","state":"NY","postal_code":"130311674","country_code":"US","street_2":"STE 20","phone":"3157080190","fax":"3154883284"}],"license":{"state":"NY","number":"226613"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"02335344","state":"NY","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20101213000949","type_code":"14-10","type_desc":"PRACTITIONER - GASTROENTEROLOGY","state":"NY","pac_id":"0042248411"}]},"enumeration_date":"2006-07-28","last_updated":"2016-06-17","_meta":{"source":"NPPES","snapshot_date":"2016-06-17","doc_url":"https://findmynpi.com/api"}}