{"npi":"1164402103","type":"NPI-1","status":"active","name":{"display":"Marvin Ray MD","other":[],"first":"MARVIN","last":"RAY","middle":"LEE","credential":"MD"},"specialty":{"primary_taxonomy":"207R00000X","primary_taxonomy_description":"Internal Medicine","slug":"internal-medicine","schema_org_specialty":"Internal","all":[{"code":"207R00000X","description":"Internal Medicine","primary":true,"state":"OH","license":"074010"}]},"addresses":[{"purpose":"LOCATION","street_1":"200 N BREIEL BLVD","city":"MIDDLETOWN","state":"OH","postal_code":"450423808","country_code":"US","phone":"5134242535","fax":"5134240363"},{"purpose":"MAILING","street_1":"200 N BREIEL BLVD","city":"MIDDLETOWN","state":"OH","postal_code":"450423808","country_code":"US","phone":"5134242535","fax":"5134240363"}],"license":{"state":"OH","number":"074010"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"2093050","state":"OH","issuer":null},{"type_code":"05","label":"Medicaid","value":"663787","state":"OH","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20100729000641","type_code":"14-11","type_desc":"PRACTITIONER - INTERNAL MEDICINE","state":"OH","pac_id":"6800978040"}]},"enumeration_date":"2006-01-17","last_updated":"2014-11-18","_meta":{"source":"NPPES","snapshot_date":"2014-11-18","doc_url":"https://findmynpi.com/api"}}