{"npi":"1306067640","type":"NPI-1","status":"active","name":{"display":"Dr. Edward Prodanovic MD","other":[],"first":"EDWARD","last":"PRODANOVIC","middle":"MILAN","credential":"MD"},"specialty":{"primary_taxonomy":"207N00000X","primary_taxonomy_description":"Dermatology","slug":"dermatology","schema_org_specialty":"Dermatologic","all":[{"code":"207R00000X","description":"Internal Medicine","primary":false,"state":"MO","license":"2025004026"},{"code":"207N00000X","description":"Dermatology","primary":true,"state":"MO","license":"2025004026"}]},"addresses":[{"purpose":"LOCATION","street_1":"4901 FOREST PARK AVE","city":"SAINT LOUIS","state":"MO","postal_code":"631081495","country_code":"US","street_2":"DIV IM DERMATOLOGY, STE 502","phone":"3147478688","fax":"8886658309"},{"purpose":"MAILING","street_1":"PO BOX 7412011","city":"CHICAGO","state":"IL","postal_code":"606742011","country_code":"US","phone":"3147478688","fax":"8886658309"}],"license":{"state":"MO","number":"2025004026"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20180618000707","type_code":"14-07","type_desc":"PRACTITIONER - DERMATOLOGY","state":"GU","pac_id":"2668609777"},{"enrlmt_id":"I20200804001128","type_code":"14-07","type_desc":"PRACTITIONER - DERMATOLOGY","state":"TX","pac_id":"2668609777"},{"enrlmt_id":"I20250807001843","type_code":"14-07","type_desc":"PRACTITIONER - DERMATOLOGY","state":"MO","pac_id":"2668609777"},{"enrlmt_id":"I20250902002971","type_code":"14-07","type_desc":"PRACTITIONER - DERMATOLOGY","state":"IL","pac_id":"2668609777"}]},"enumeration_date":"2007-05-02","last_updated":"2025-07-16","_meta":{"source":"NPPES","snapshot_date":"2025-07-16","doc_url":"https://findmynpi.com/api"}}