{"npi":"1346277399","type":"NPI-1","status":"active","name":{"display":"Stephan Thiede MD","other":[],"first":"STEPHAN","last":"THIEDE","middle":"G","credential":"MD"},"specialty":{"primary_taxonomy":"2085R0202X","primary_taxonomy_description":"Diagnostic Radiology","slug":"diagnostic-radiology","schema_org_specialty":"Radiography","all":[{"code":"2085R0202X","description":"Diagnostic Radiology","primary":false,"state":"WA","license":"MD60183001"},{"code":"2085R0202X","description":"Diagnostic Radiology","primary":true,"state":"OR","license":"MD25991"}]},"addresses":[{"purpose":"LOCATION","street_1":"1200 HILYARD ST","city":"EUGENE","state":"OR","postal_code":"974018122","country_code":"US","phone":"5416877134","fax":"5416877135"},{"purpose":"MAILING","street_1":"445 HARLOW RD STE 200","city":"SPRINGFIELD","state":"OR","postal_code":"974771341","country_code":"US","phone":"5413027771"}],"license":{"state":"OR","number":"MD25991"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"8427338","state":"WA","issuer":null},{"type_code":"05","label":"Medicaid","value":"269934","state":"OR","issuer":null},{"type_code":"05","label":"Medicaid","value":"MD4882R","state":"AK","issuer":null},{"type_code":"05","label":"Medicaid","value":"MD9882R","state":"AK","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20050624000706","type_code":"14-30","type_desc":"PRACTITIONER - DIAGNOSTIC RADIOLOGY","state":"OR","pac_id":"2062494438"},{"enrlmt_id":"I20240709001882","type_code":"14-30","type_desc":"PRACTITIONER - DIAGNOSTIC RADIOLOGY","state":"WA","pac_id":"2062494438"},{"enrlmt_id":"I20240807003069","type_code":"14-30","type_desc":"PRACTITIONER - DIAGNOSTIC RADIOLOGY","state":"ID","pac_id":"2062494438"}]},"enumeration_date":"2006-06-26","last_updated":"2024-07-05","_meta":{"source":"NPPES","snapshot_date":"2024-07-05","doc_url":"https://findmynpi.com/api"}}