{"npi":"1174518526","type":"NPI-1","status":"active","name":{"display":"Dr. Stephan Corder MD","other":[],"first":"STEPHAN","last":"CORDER","middle":"SCOTT","credential":"MD"},"specialty":{"primary_taxonomy":"208D00000X","primary_taxonomy_description":"General Practice","slug":"general-practice","schema_org_specialty":"PrimaryCare","all":[{"code":"208D00000X","description":"General Practice","primary":true,"state":"KS","license":"0418093"}]},"addresses":[{"purpose":"LOCATION","street_1":"214 E LOGAN ST","city":"OTTAWA","state":"KS","postal_code":"660672013","country_code":"US","phone":"7852427773"},{"purpose":"MAILING","street_1":"619 N BENNETT RD","city":"OTTAWA","state":"KS","postal_code":"660679794","country_code":"US","phone":"7852427773"}],"license":{"state":"KS","number":"0418093"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"100131720A","state":"KS","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2005-09-13","last_updated":"2024-08-02","_meta":{"source":"NPPES","snapshot_date":"2024-08-02","doc_url":"https://findmynpi.com/api"}}