{"npi":"1194988915","type":"NPI-1","status":"active","name":{"display":"Dimitri Pagoulato Pac","other":[],"first":"DIMITRI","last":"PAGOULATO","middle":"NICHOLAS","credential":"PAC"},"specialty":{"primary_taxonomy":"363A00000X","primary_taxonomy_description":"Physician Assistant","slug":"physician-assistant","schema_org_specialty":null,"all":[{"code":"363A00000X","description":"Physician Assistant","primary":true,"state":"LA","license":"200193"}]},"addresses":[{"purpose":"LOCATION","street_1":"6516 E MYRTLE AVE","city":"BAKER","state":"LA","postal_code":"707144348","country_code":"US","phone":"2257747320","fax":"2257745432"},{"purpose":"MAILING","street_1":"5959 S SHERWOOD FOREST BLVD","city":"BATON ROUGE","state":"LA","postal_code":"708166038","country_code":"US","phone":"2257747320","fax":"2257659196"}],"license":{"state":"LA","number":"200193"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"1189871","state":"LA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20081105000004","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"LA","pac_id":"9335215243"}]},"enumeration_date":"2008-07-02","last_updated":"2025-03-14","_meta":{"source":"NPPES","snapshot_date":"2025-03-14","doc_url":"https://findmynpi.com/api"}}