{"npi":"1114985173","type":"NPI-1","status":"active","name":{"display":"Dr. Sean Cupp M.D.","other":[],"first":"SEAN","last":"CUPP","middle":"A.","credential":"M.D."},"specialty":{"primary_taxonomy":"207QS0010X","primary_taxonomy_description":"Sports Medicine (Family Medicine) Physician","slug":"sports-medicine-family-medicine-physician","schema_org_specialty":null,"all":[{"code":"207Q00000X","description":"Family Medicine","primary":false,"state":"KS","license":"0430814"},{"code":"207QS0010X","description":"Sports Medicine (Family Medicine) Physician","primary":false,"state":"KS","license":"0430814"},{"code":"207QS0010X","description":"Sports Medicine (Family Medicine) Physician","primary":true,"state":"OH","license":"35.124490"}]},"addresses":[{"purpose":"LOCATION","street_1":"24701 EUCLID AVE","city":"EUCLID","state":"OH","postal_code":"441171714","country_code":"US","street_2":"3RD FLOOR","phone":"2168447200"},{"purpose":"MAILING","street_1":"11100 EUCLID AVE","city":"CLEVELAND","state":"OH","postal_code":"441061716","country_code":"US","phone":"2168447200"}],"license":{"state":"OH","number":"35.124490"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"200307140A","state":"KS","issuer":null},{"type_code":"05","label":"Medicaid","value":"0109771","state":"OH","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20140924000301","type_code":"14-08","type_desc":"PRACTITIONER - FAMILY PRACTICE","state":"OH","pac_id":"1153399662"}]},"enumeration_date":"2006-05-01","last_updated":"2020-12-02","_meta":{"source":"NPPES","snapshot_date":"2020-12-02","doc_url":"https://findmynpi.com/api"}}