{"npi":"1154572113","type":"NPI-1","status":"active","name":{"display":"Isaac Overholt MD","other":[],"first":"ISAAC","last":"OVERHOLT","middle":"R","credential":"MD"},"specialty":{"primary_taxonomy":"208M00000X","primary_taxonomy_description":"Hospitalist","slug":"hospitalist","schema_org_specialty":"Internal","all":[{"code":"207R00000X","description":"Internal Medicine","primary":false,"state":"CO","license":"49911"},{"code":"208M00000X","description":"Hospitalist","primary":true,"state":"CO","license":"49911"}]},"addresses":[{"purpose":"LOCATION","street_1":"7100 E BELLEVIEW AVE STE G10","city":"GREENWOOD VILLAGE","state":"CO","postal_code":"801111634","country_code":"US","phone":"3037450000","fax":"3037733675"},{"purpose":"MAILING","street_1":"7100 E BELLEVIEW AVE STE G10","city":"GREENWOOD VILLAGE","state":"CO","postal_code":"801111634","country_code":"US","phone":"3037450000","fax":"3037733675"}],"license":{"state":"CO","number":"49911"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"77228529","state":"CO","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20110719000546","type_code":"14-11","type_desc":"PRACTITIONER - INTERNAL MEDICINE","state":"CO","pac_id":"7618145665"}]},"enumeration_date":"2008-10-08","last_updated":"2024-06-14","_meta":{"source":"NPPES","snapshot_date":"2024-06-14","doc_url":"https://findmynpi.com/api"}}