{"npi":"1346316239","type":"NPI-1","status":"active","name":{"display":"Dr. Raven Koeppler M.D.","other":[],"first":"RAVEN","last":"KOEPPLER","middle":"A","credential":"M.D."},"specialty":{"primary_taxonomy":"207V00000X","primary_taxonomy_description":"Obstetrics & Gynecology","slug":"ob-gyn","schema_org_specialty":"Obstetric","all":[{"code":"207V00000X","description":"Obstetrics & Gynecology","primary":true,"state":"WI","license":"51629"}]},"addresses":[{"purpose":"LOCATION","street_1":"4455 S 108TH ST","city":"MILWAUKEE","state":"WI","postal_code":"532282504","country_code":"US","street_2":"GREENFIELD HIGHLANDS HEALTH CENTER","phone":"4144275310","fax":"4144275311"},{"purpose":"MAILING","street_1":"4455 S 108TH ST","city":"MILWAUKEE","state":"WI","postal_code":"532282504","country_code":"US","street_2":"GREENFIELD HIGHLANDS HEALTH CENTER","phone":"4144275310","fax":"4144275311"}],"license":{"state":"WI","number":"51629"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"1346316239","state":"WI","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20101112000048","type_code":"14-16","type_desc":"PRACTITIONER - OBSTETRICS/GYNECOLOGY","state":"WI","pac_id":"2769677061"}]},"enumeration_date":"2006-11-24","last_updated":"2014-03-04","_meta":{"source":"NPPES","snapshot_date":"2014-03-04","doc_url":"https://findmynpi.com/api"}}