{"npi":"1316967656","type":"NPI-2","status":"active","name":{"display":"Shaw P Wan Urology PLLC","other":[],"organization_name":"SHAW P WAN UROLOGY PLLC","authorised_official":"Shaw Wan"},"specialty":{"primary_taxonomy":"208800000X","primary_taxonomy_description":"Urology Physician","slug":"urology-physician","schema_org_specialty":null,"all":[{"code":"208800000X","description":"Urology Physician","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"1009 NORTH 6TH STREET","city":"ALBEMARLE","state":"NC","postal_code":"28001","country_code":"US","phone":"7049822800","fax":"7049822830"},{"purpose":"MAILING","street_1":"1009 NORTH 6TH STREET","city":"ALBEMARLE","state":"NC","postal_code":"28001","country_code":"US","phone":"7049822800","fax":"7049822830"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"5903073","state":"NC","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-07-20","last_updated":"2020-08-22","_meta":{"source":"NPPES","snapshot_date":"2020-08-22","doc_url":"https://findmynpi.com/api"}}