{"npi":"1326037342","type":"NPI-1","status":"active","name":{"display":"Peter Roan MD","other":[],"first":"PETER","last":"ROAN","middle":"G","credential":"MD"},"specialty":{"primary_taxonomy":"207RC0000X","primary_taxonomy_description":"Cardiovascular Disease","slug":"cardiology","schema_org_specialty":"Cardiovascular","all":[{"code":"207RI0011X","description":"Interventional Cardiology","primary":false,"state":"ID","license":"M6613"},{"code":"207RI0011X","description":"Interventional Cardiology","primary":false,"state":"ID","license":"M-6613"},{"code":"207RC0000X","description":"Cardiovascular Disease","primary":true,"state":"ID","license":"M-6613"}]},"addresses":[{"purpose":"LOCATION","street_1":"207 1ST ST S","city":"NAMPA","state":"ID","postal_code":"836513703","country_code":"US","phone":"2084667869","fax":"2084665359"},{"purpose":"MAILING","street_1":"3310 E RIVERNEST LN","city":"BOISE","state":"ID","postal_code":"837066928","country_code":"US","phone":"2088697700"}],"license":{"state":"ID","number":"M-6613"},"identifiers":[{"type_code":"01","label":"Other","value":"P00182709","state":"ID","issuer":"RAILROAD MEDICARE"},{"type_code":"05","label":"Medicaid","value":"003895300","state":"ID","issuer":null},{"type_code":"01","label":"Other","value":"000010149232","state":"ID","issuer":"BLUE SHIELD"},{"type_code":"01","label":"Other","value":"B3390","state":"ID","issuer":"BLUE CROSS"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20050128000228","type_code":"14-C3","type_desc":"PRACTITIONER - INTERVENTIONAL CARDIOLOGY","state":"ID","pac_id":"3072597962"}]},"enumeration_date":"2005-10-21","last_updated":"2025-07-22","_meta":{"source":"NPPES","snapshot_date":"2025-07-22","doc_url":"https://findmynpi.com/api"}}