{"npi":"1376648782","type":"NPI-1","status":"active","name":{"display":"Jason Koczman PA-C","other":[],"first":"JASON","last":"KOCZMAN","middle":"JAMES","credential":"PA-C"},"specialty":{"primary_taxonomy":"363AS0400X","primary_taxonomy_description":"Surgical Physician Assistant","slug":"surgical-physician-assistant","schema_org_specialty":null,"all":[{"code":"363A00000X","description":"Physician Assistant","primary":false,"state":"AZ","license":"7302"},{"code":"363AS0400X","description":"Surgical Physician Assistant","primary":true,"state":"AZ","license":"7302"}]},"addresses":[{"purpose":"LOCATION","street_1":"10484 W THUNDERBIRD BLVD STE 100","city":"SUN CITY","state":"AZ","postal_code":"853516019","country_code":"US","phone":"8669742673","fax":"8669392673"},{"purpose":"MAILING","street_1":"18444 N 25TH AVE STE 310","city":"PHOENIX","state":"AZ","postal_code":"850231266","country_code":"US","phone":"8669742673","fax":"9282136292"}],"license":{"state":"AZ","number":"7302"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"497276","state":"AZ","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20041025000933","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"FL","pac_id":"1254392053"},{"enrlmt_id":"I20160205001373","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"CO","pac_id":"1254392053"},{"enrlmt_id":"I20181213002024","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"AZ","pac_id":"1254392053"}]},"enumeration_date":"2006-09-13","last_updated":"2025-08-13","_meta":{"source":"NPPES","snapshot_date":"2025-08-13","doc_url":"https://findmynpi.com/api"}}