{"npi":"1255786703","type":"NPI-2","status":"active","name":{"display":"Pangea Medical LLC","other":[],"organization_name":"PANGEA MEDICAL LLC","authorised_official":"Steven Black"},"specialty":{"primary_taxonomy":"2084P0800X","primary_taxonomy_description":"Psychiatry","slug":"psychiatry","schema_org_specialty":"Psychiatric","all":[{"code":"207R00000X","description":"Internal Medicine","primary":false,"state":"NM","license":"MD2011-0547"},{"code":"2084P0800X","description":"Psychiatry","primary":true,"state":"NM","license":"MD2011-0547"}]},"addresses":[{"purpose":"LOCATION","street_1":"405 W COUNTRY CLUB RD","city":"ROSWELL","state":"NM","postal_code":"882015209","country_code":"US","phone":"5756242095","fax":"5752080780"},{"purpose":"MAILING","street_1":"PO BOX 8244","city":"ROSWELL","state":"NM","postal_code":"882028244","country_code":"US","phone":"5756242095","fax":"5752080780"}],"license":{"state":"NM","number":"MD2011-0547"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20161227000266","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"NM","pac_id":"0042591471"}]},"enumeration_date":"2016-05-03","last_updated":"2022-10-21","_meta":{"source":"NPPES","snapshot_date":"2022-10-21","doc_url":"https://findmynpi.com/api"}}