{"npi":"1386644730","type":"NPI-1","status":"active","name":{"display":"Philip Vanderstoep M.D.","other":[],"first":"PHILIP","last":"VANDERSTOEP","middle":"H","credential":"M.D."},"specialty":{"primary_taxonomy":"2085R0202X","primary_taxonomy_description":"Diagnostic Radiology","slug":"diagnostic-radiology","schema_org_specialty":"Radiography","all":[{"code":"2085R0202X","description":"Diagnostic Radiology","primary":true,"state":"MN","license":"22588"}]},"addresses":[{"purpose":"LOCATION","street_1":"1990 CONNECTICUT AVE S","city":"SARTELL","state":"MN","postal_code":"563772554","country_code":"US","phone":"3202575595","fax":"3202575596"},{"purpose":"MAILING","street_1":"PO BOX 7366","city":"SAINT CLOUD","state":"MN","postal_code":"563027366","country_code":"US","phone":"3202575595","fax":"3202575596"}],"license":{"state":"MN","number":"22588"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"104072300","state":"MN","issuer":null},{"type_code":"01","label":"Other","value":"300039116","state":"MN","issuer":"RAILROAD MEDICARE"},{"type_code":"01","label":"Other","value":"106088C561","state":"MN","issuer":"UCARE OF MINNESOTA"},{"type_code":"01","label":"Other","value":"26650","state":"MN","issuer":"ARAZ/ AMERICA'S PPO"},{"type_code":"01","label":"Other","value":"16-29701","state":"MN","issuer":"MEDICA"},{"type_code":"01","label":"Other","value":"965251008761","state":"MN","issuer":"PREFERRED ONE"},{"type_code":"01","label":"Other","value":"54886VA","state":"MN","issuer":"BLUE CROSS BLUE SHIELD"},{"type_code":"01","label":"Other","value":"HP25529","state":"MN","issuer":"HEALTH PARTNERS"},{"type_code":"01","label":"Other","value":"411772562","state":"MN","issuer":"GREATWEST HEALTHCARE"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2005-07-28","last_updated":"2011-08-12","_meta":{"source":"NPPES","snapshot_date":"2011-08-12","doc_url":"https://findmynpi.com/api"}}