{"npi":"1245267350","type":"NPI-1","status":"active","name":{"display":"David Lamport PA-C","other":[],"first":"DAVID","last":"LAMPORT","middle":"MORRIS","credential":"PA-C"},"specialty":{"primary_taxonomy":"363AM0700X","primary_taxonomy_description":"Medical Physician Assistant","slug":"medical-physician-assistant","schema_org_specialty":null,"all":[{"code":"363AM0700X","description":"Medical Physician Assistant","primary":true,"state":"OH","license":"50.001091RX"}]},"addresses":[{"purpose":"LOCATION","street_1":"122 COLUMBUS RD","city":"FREDERICKTOWN","state":"OH","postal_code":"430191266","country_code":"US","phone":"7406941261","fax":"7406947145"},{"purpose":"MAILING","street_1":"122 COLUMBUS RD","city":"FREDERICKTOWN","state":"OH","postal_code":"430191266","country_code":"US","phone":"7406941261","fax":"7406947145"}],"license":{"state":"OH","number":"50.001091RX"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"0112903","state":"OH","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20120416000195","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"OH","pac_id":"9032370200"}]},"enumeration_date":"2006-06-26","last_updated":"2021-12-15","_meta":{"source":"NPPES","snapshot_date":"2021-12-15","doc_url":"https://findmynpi.com/api"}}