{"npi":"1386755809","type":"NPI-1","status":"active","name":{"display":"Jason Bennett MD","other":[],"first":"JASON","last":"BENNETT","middle":"A.","credential":"MD"},"specialty":{"primary_taxonomy":"207ZP0102X","primary_taxonomy_description":"Anatomic & Clinical Pathology","slug":"pathology","schema_org_specialty":"Pathology","all":[{"code":"207ZP0102X","description":"Anatomic & Clinical Pathology","primary":false,"state":"PA","license":"MD429260"},{"code":"207ZP0102X","description":"Anatomic & Clinical Pathology","primary":false,"state":"LA","license":"MD.205664"},{"code":"207ZP0102X","description":"Anatomic & Clinical Pathology","primary":false,"state":"WV","license":"21356"},{"code":"207ZP0102X","description":"Anatomic & Clinical Pathology","primary":false,"state":"FL","license":"ME154997"},{"code":"207ZP0102X","description":"Anatomic & Clinical Pathology","primary":true,"state":"UT","license":"13423479-1205"}]},"addresses":[{"purpose":"LOCATION","street_1":"15 N MEDICAL DR STE 1100","city":"SALT LAKE CITY","state":"UT","postal_code":"841121100","country_code":"US","phone":"8015812121"},{"purpose":"MAILING","street_1":"15 N MEDICAL DR STE 1100","city":"SALT LAKE CITY","state":"UT","postal_code":"841121100","country_code":"US","phone":"8015812121"}],"license":{"state":"UT","number":"13423479-1205"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"1017445660001","state":"PA","issuer":null},{"type_code":"01","label":"Other","value":"156840","state":"PA","issuer":"GATEWAY"},{"type_code":"05","label":"Medicaid","value":"03223248","state":"MS","issuer":null},{"type_code":"05","label":"Medicaid","value":"114105000","state":"FL","issuer":null},{"type_code":"01","label":"Other","value":"7905789","state":null,"issuer":"CIGNA"},{"type_code":"05","label":"Medicaid","value":"2304313","state":"LA","issuer":null},{"type_code":"01","label":"Other","value":"000000493642","state":null,"issuer":"ANTHEM"},{"type_code":"01","label":"Other","value":"1904630","state":"PA","issuer":"HIGHMARK"},{"type_code":"01","label":"Other","value":"1393196","state":null,"issuer":"AETNA HMOS"},{"type_code":"05","label":"Medicaid","value":"2698906","state":"OH","issuer":null},{"type_code":"01","label":"Other","value":"77644605","state":null,"issuer":"AETNA PPOS"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20220504001490","type_code":"14-22","type_desc":"PRACTITIONER - PATHOLOGY","state":"FL","pac_id":"4082611447"},{"enrlmt_id":"I20240116001664","type_code":"14-22","type_desc":"PRACTITIONER - PATHOLOGY","state":"UT","pac_id":"4082611447"}]},"enumeration_date":"2006-08-31","last_updated":"2023-05-25","_meta":{"source":"NPPES","snapshot_date":"2023-05-25","doc_url":"https://findmynpi.com/api"}}