{"npi":"1124064407","type":"NPI-1","status":"active","name":{"display":"Vance Vandrake MD","other":[],"first":"VANCE","last":"VANDRAKE","middle":"V","credential":"MD"},"specialty":{"primary_taxonomy":"207RG0100X","primary_taxonomy_description":"Gastroenterology","slug":"gastroenterology","schema_org_specialty":"Gastroenterologic","all":[{"code":"207RG0100X","description":"Gastroenterology","primary":true,"state":"IN","license":"01030783"}]},"addresses":[{"purpose":"LOCATION","street_1":"11104 PARKVIEW CIRCLE DR","city":"FORT WAYNE","state":"IN","postal_code":"468451672","country_code":"US","street_2":"SUITE 310","phone":"2602665230","fax":"2602665238"},{"purpose":"MAILING","street_1":"11109 PARKVIEW PLAZA DR # 117","city":"FORT WAYNE","state":"IN","postal_code":"468451701","country_code":"US"}],"license":{"state":"IN","number":"01030783"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"0511995","state":"OH","issuer":null},{"type_code":"05","label":"Medicaid","value":"100355760","state":"IN","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20130829000405","type_code":"14-11","type_desc":"PRACTITIONER - INTERNAL MEDICINE","state":"IN","pac_id":"0840270047"}]},"enumeration_date":"2006-06-22","last_updated":"2022-10-20","_meta":{"source":"NPPES","snapshot_date":"2022-10-20","doc_url":"https://findmynpi.com/api"}}