{"npi":"1376538819","type":"NPI-1","status":"active","name":{"display":"Phillip Corbin M.D.","other":[],"first":"PHILLIP","last":"CORBIN","middle":"W.","credential":"M.D."},"specialty":{"primary_taxonomy":"207Q00000X","primary_taxonomy_description":"Family Medicine","slug":"family-medicine","schema_org_specialty":"PrimaryCare","all":[{"code":"207Q00000X","description":"Family Medicine","primary":true,"state":"IN","license":"01046482"}]},"addresses":[{"purpose":"LOCATION","street_1":"104 NICHOLAS PL","city":"AVILLA","state":"IN","postal_code":"467100069","country_code":"US","phone":"2608973308","fax":"2608973650"},{"purpose":"MAILING","street_1":"11109 PARKVIEW PLAZA DR # 117","city":"FORT WAYNE","state":"IN","postal_code":"468451701","country_code":"US"}],"license":{"state":"IN","number":"01046482"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"200179540A","state":"IN","issuer":null},{"type_code":"01","label":"Other","value":"000000364991","state":"IN","issuer":"ANTHEM"},{"type_code":"01","label":"Other","value":"000000570555","state":"IN","issuer":"ANTHEM"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20050516000563","type_code":"14-08","type_desc":"PRACTITIONER - FAMILY PRACTICE","state":"IN","pac_id":"1153362611"}]},"enumeration_date":"2005-09-12","last_updated":"2022-10-07","_meta":{"source":"NPPES","snapshot_date":"2022-10-07","doc_url":"https://findmynpi.com/api"}}