{"npi":"1235580903","type":"NPI-1","status":"active","name":{"display":"Richard Clark PA-C","other":[],"first":"RICHARD","last":"CLARK","middle":"KENNETH","credential":"PA-C"},"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":"WI","license":"3766-23"}]},"addresses":[{"purpose":"LOCATION","street_1":"1630 CHIPPEWA DR","city":"RHINELANDER","state":"WI","postal_code":"545019503","country_code":"US","phone":"7153615480"},{"purpose":"MAILING","street_1":"PO BOX 646","city":"WOODRUFF","state":"WI","postal_code":"545680646","country_code":"US","phone":"7156140038"}],"license":{"state":"WI","number":"3766-23"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20160804002689","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"WI","pac_id":"1153615711"}]},"enumeration_date":"2016-06-23","last_updated":"2016-06-23","_meta":{"source":"NPPES","snapshot_date":"2016-06-23","doc_url":"https://findmynpi.com/api"}}