{"npi":"1164553285","type":"NPI-2","status":"active","name":{"display":"Joseph L. Petrusek, M.D., P.C.","other":[],"organization_name":"JOSEPH L. PETRUSEK, M.D., P.C.","authorised_official":"Joseph Petrusek"},"specialty":{"primary_taxonomy":"207Y00000X","primary_taxonomy_description":"Otolaryngology Physician","slug":"otolaryngology-physician","schema_org_specialty":null,"all":[{"code":"207Y00000X","description":"Otolaryngology Physician","primary":true,"state":"OR","license":"MD09444"}]},"addresses":[{"purpose":"LOCATION","street_1":"710 SUNSET DR","city":"LA GRANDE","state":"OR","postal_code":"978501200","country_code":"US","street_2":"STE. D","phone":"5419638643","fax":"5419635845"},{"purpose":"MAILING","street_1":"710 SUNSET DR","city":"LA GRANDE","state":"OR","postal_code":"978501200","country_code":"US","street_2":"STE. D","phone":"5419638643","fax":"5419635845"}],"license":{"state":"OR","number":"MD09444"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"161026","state":"OR","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2007-03-08","last_updated":"2020-08-22","_meta":{"source":"NPPES","snapshot_date":"2020-08-22","doc_url":"https://findmynpi.com/api"}}