{"npi":"1295034445","type":"NPI-1","status":"active","name":{"display":"Dr. Stefan Doerge M.D.","other":[],"first":"STEFAN","last":"DOERGE","middle":"G","credential":"M.D."},"specialty":{"primary_taxonomy":"2085R0202X","primary_taxonomy_description":"Diagnostic Radiology","slug":"diagnostic-radiology","schema_org_specialty":"Radiography","all":[{"code":"2085R0202X","description":"Diagnostic Radiology","primary":true,"state":"WI","license":"59478-20"}]},"addresses":[{"purpose":"LOCATION","street_1":"2900 W OKLAHOMA AVE","city":"MILWAUKEE","state":"WI","postal_code":"532154330","country_code":"US","phone":"4146493323"},{"purpose":"MAILING","street_1":"2900 W OKLAHOMA AVE","city":"MILWAUKEE","state":"WI","postal_code":"532154330","country_code":"US","phone":"4146496000"}],"license":{"state":"WI","number":"59478-20"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"100031141","state":"WI","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20170616001122","type_code":"14-30","type_desc":"PRACTITIONER - DIAGNOSTIC RADIOLOGY","state":"WI","pac_id":"3072803261"}]},"enumeration_date":"2011-03-26","last_updated":"2022-07-19","_meta":{"source":"NPPES","snapshot_date":"2022-07-19","doc_url":"https://findmynpi.com/api"}}