{"npi":"1336116201","type":"NPI-1","status":"active","name":{"display":"Sung Park M.D.","other":[],"first":"SUNG","last":"PARK","middle":"JAE","credential":"M.D."},"specialty":{"primary_taxonomy":"207Q00000X","primary_taxonomy_description":"Family Medicine","slug":"family-medicine","schema_org_specialty":"PrimaryCare","all":[{"code":"207Q00000X","description":"Family Medicine","primary":true,"state":"IN","license":"01051341"}]},"addresses":[{"purpose":"LOCATION","street_1":"2235 DUBOIS DR","city":"WARSAW","state":"IN","postal_code":"465803212","country_code":"US","phone":"5742678189","fax":"5742677554"},{"purpose":"MAILING","street_1":"2235 DUBOIS DR","city":"WARSAW","state":"IN","postal_code":"465803212","country_code":"US","phone":"5742678189","fax":"5742677554"}],"license":{"state":"IN","number":"01051341"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"200248760A","state":"IN","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20091014000810","type_code":"14-08","type_desc":"PRACTITIONER - FAMILY PRACTICE","state":"IN","pac_id":"4284735952"}]},"enumeration_date":"2006-03-01","last_updated":"2020-10-06","_meta":{"source":"NPPES","snapshot_date":"2020-10-06","doc_url":"https://findmynpi.com/api"}}