{"npi":"1366446148","type":"NPI-1","status":"active","name":{"display":"Timothy Phalen MD","other":[],"first":"TIMOTHY","last":"PHALEN","middle":"JOSEPH","credential":"MD"},"specialty":{"primary_taxonomy":"2085R0202X","primary_taxonomy_description":"Diagnostic Radiology","slug":"diagnostic-radiology","schema_org_specialty":"Radiography","all":[{"code":"2085R0204X","description":"Vascular & Interventional Radiology Physician","primary":false,"state":"OH","license":"35.076229"},{"code":"2085R0202X","description":"Diagnostic Radiology","primary":true,"state":"OH","license":"35076229"}]},"addresses":[{"purpose":"LOCATION","street_1":"3188 BELLEVUE AVE","city":"CINCINNATI","state":"OH","postal_code":"452192369","country_code":"US","phone":"5134758892"},{"purpose":"MAILING","street_1":"3200 BURNET AVE","city":"CINCINNATI","state":"OH","postal_code":"452293019","country_code":"US"}],"license":{"state":"OH","number":"35076229"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"2222893","state":"OH","issuer":null},{"type_code":"05","label":"Medicaid","value":"64049968","state":"KY","issuer":null},{"type_code":"05","label":"Medicaid","value":"200276720A","state":"IN","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20101116000003","type_code":"14-30","type_desc":"PRACTITIONER - DIAGNOSTIC RADIOLOGY","state":"OH","pac_id":"7214012095"},{"enrlmt_id":"I20230123000273","type_code":"14-30","type_desc":"PRACTITIONER - DIAGNOSTIC RADIOLOGY","state":"NC","pac_id":"7214012095"}]},"enumeration_date":"2005-06-09","last_updated":"2026-05-18","_meta":{"source":"NPPES","snapshot_date":"2026-05-18","doc_url":"https://findmynpi.com/api"}}