{"npi":"1366428443","type":"NPI-1","status":"active","name":{"display":"Cormac Odonovan MD","other":[],"first":"CORMAC","last":"ODONOVAN","credential":"MD"},"specialty":{"primary_taxonomy":"2084N0400X","primary_taxonomy_description":"Neurology","slug":"neurology","schema_org_specialty":"Neurologic","all":[{"code":"2084N0400X","description":"Neurology","primary":true,"state":"NC","license":"9500678"},{"code":"2084N0600X","description":"Clinical Neurophysiology","primary":false,"state":"NC","license":"9500678"}]},"addresses":[{"purpose":"LOCATION","street_1":"MEDICAL CENTER BLVD","city":"WINSTON SALEM","state":"NC","postal_code":"271570001","country_code":"US","phone":"3367162255","fax":"3367169016"},{"purpose":"MAILING","street_1":"PO BOX 344","city":"WINSTON SALEM","state":"NC","postal_code":"271020344","country_code":"US","phone":"3367162255","fax":"3367169016"}],"license":{"state":"NC","number":"9500678"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"Q00670","state":"SC","issuer":null},{"type_code":"05","label":"Medicaid","value":"6100368","state":"VA","issuer":null},{"type_code":"01","label":"Other","value":"5249360","state":null,"issuer":"AETNA"},{"type_code":"01","label":"Other","value":"63701","state":"NC","issuer":"BCBS"},{"type_code":"01","label":"Other","value":"11387","state":"NC","issuer":"PARTNERS"},{"type_code":"05","label":"Medicaid","value":"3002234000","state":"WV","issuer":null},{"type_code":"01","label":"Other","value":"64148","state":"NC","issuer":"MEDCOST"},{"type_code":"05","label":"Medicaid","value":"8963701","state":"NC","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20100315000465","type_code":"14-13","type_desc":"PRACTITIONER - NEUROLOGY","state":"NC","pac_id":"0446385538"}]},"enumeration_date":"2005-12-20","last_updated":"2010-11-12","_meta":{"source":"NPPES","snapshot_date":"2010-11-12","doc_url":"https://findmynpi.com/api"}}