{"npi":"1366558264","type":"NPI-2","status":"active","name":{"display":"Wise Emergency Medicine Associates PA","other":[],"organization_name":"WISE EMERGENCY MEDICINE ASSOCIATES PA","authorised_official":"Raymond Fleischer"},"specialty":{"primary_taxonomy":"207P00000X","primary_taxonomy_description":"Emergency Medicine","slug":"emergency-medicine","schema_org_specialty":"Emergency","all":[{"code":"363AM0700X","description":"Medical Physician Assistant","primary":false,"state":null,"license":null},{"code":"363L00000X","description":"Nurse Practitioner","primary":false,"state":null,"license":null},{"code":"207P00000X","description":"Emergency Medicine","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"609 MEDICAL CENTER DR","city":"DECATUR","state":"TX","postal_code":"762343836","country_code":"US","phone":"8008939698"},{"purpose":"MAILING","street_1":"200 CORPORATE BLVD","city":"LAFAYETTE","state":"LA","postal_code":"705083870","country_code":"US","phone":"8008939698"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"169786401","state":"TX","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20041213000078","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"TX","pac_id":"2769449727"}]},"enumeration_date":"2006-08-22","last_updated":"2025-07-11","_meta":{"source":"NPPES","snapshot_date":"2025-07-11","doc_url":"https://findmynpi.com/api"}}