{"npi":"1265481980","type":"NPI-2","status":"active","name":{"display":"Wasatch Urology Associates","other":[],"organization_name":"WASATCH UROLOGY ASSOCIATES","authorised_official":"James Jensen"},"specialty":{"primary_taxonomy":"174400000X","primary_taxonomy_description":"Specialist","slug":"specialist","schema_org_specialty":null,"all":[{"code":"174400000X","description":"Specialist","primary":true,"state":"UT","license":"1783141205"}]},"addresses":[{"purpose":"LOCATION","street_1":"24 S 1100 E","city":"SALT LAKE CITY","state":"UT","postal_code":"841021500","country_code":"US","street_2":"SUITE 301","phone":"8015321244","fax":"8015327277"},{"purpose":"MAILING","street_1":"PO BOX 58201","city":"SALT LAKE CITY","state":"UT","postal_code":"841580201","country_code":"US","phone":"8015321244","fax":"8015327277"}],"license":{"state":"UT","number":"1783141205"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"529824158002","state":"UT","issuer":null},{"type_code":"01","label":"Other","value":"3400017805","state":"UT","issuer":"RAILROAD MEDICARE PROVIDE"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-05-09","last_updated":"2020-08-22","_meta":{"source":"NPPES","snapshot_date":"2020-08-22","doc_url":"https://findmynpi.com/api"}}