{"npi":"1235495458","type":"NPI-1","status":"active","name":{"display":"Nathan Fagan M.D.","other":[],"first":"NATHAN","last":"FAGAN","middle":"MICHAEL","credential":"M.D."},"specialty":{"primary_taxonomy":"2085P0229X","primary_taxonomy_description":"Pediatric Radiology Physician","slug":"pediatric-radiology-physician","schema_org_specialty":null,"all":[{"code":"2085R0202X","description":"Diagnostic Radiology","primary":false,"state":"OH","license":"35133506"},{"code":"2085P0229X","description":"Pediatric Radiology Physician","primary":true,"state":"OH","license":"35.133506"}]},"addresses":[{"purpose":"LOCATION","street_1":"700 CHILDRENS DR","city":"COLUMBUS","state":"OH","postal_code":"432052664","country_code":"US","phone":"6147226200"},{"purpose":"MAILING","street_1":"700 CHILDRENS DR","city":"COLUMBUS","state":"OH","postal_code":"432052664","country_code":"US","phone":"6147222000"}],"license":{"state":"OH","number":"35.133506"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"0404789","state":"OH","issuer":null},{"type_code":"01","label":"Other","value":"H715592","state":"OH","issuer":"CGS - MEDICARE"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20200527003159","type_code":"14-30","type_desc":"PRACTITIONER - DIAGNOSTIC RADIOLOGY","state":"OH","pac_id":"2668781444"}]},"enumeration_date":"2012-04-02","last_updated":"2022-05-19","_meta":{"source":"NPPES","snapshot_date":"2022-05-19","doc_url":"https://findmynpi.com/api"}}