{"npi":"1396740668","type":"NPI-1","status":"active","name":{"display":"Peter Jerome M.D.","other":[],"first":"PETER","last":"JEROME","middle":"STEVAN","credential":"M.D."},"specialty":{"primary_taxonomy":"207RP1001X","primary_taxonomy_description":"Pulmonary Disease Physician","slug":"pulmonary-disease-physician","schema_org_specialty":null,"all":[{"code":"207RC0200X","description":"Critical Care Medicine (Internal Medicine) Physician","primary":false,"state":"ND","license":"12731"},{"code":"207RP1001X","description":"Pulmonary Disease Physician","primary":false,"state":"MN","license":"51376"},{"code":"207RP1001X","description":"Pulmonary Disease Physician","primary":false,"state":"WI","license":"23793"},{"code":"207RP1001X","description":"Pulmonary Disease Physician","primary":false,"state":"ID","license":"M-12784"},{"code":"207RS0012X","description":"Sleep Medicine","primary":false,"state":"ID","license":"M-12784"},{"code":"207RP1001X","description":"Pulmonary Disease Physician","primary":true,"state":"TX","license":"P4321"}]},"addresses":[{"purpose":"LOCATION","street_1":"700 E MARSHALL AVE","city":"LONGVIEW","state":"TX","postal_code":"756015580","country_code":"US","phone":"9033151488","fax":"9033151656"},{"purpose":"MAILING","street_1":"1000 1ST DR NW","city":"AUSTIN","state":"MN","postal_code":"559122941","country_code":"US","phone":"5074337351"}],"license":{"state":"TX","number":"P4321"},"identifiers":[{"type_code":"01","label":"Other","value":"P00849680","state":"MN","issuer":"RAILROAD MEDICARE"},{"type_code":"01","label":"Other","value":"P02137176","state":"TX","issuer":"MEDICARE RAILROAD"},{"type_code":"05","label":"Medicaid","value":"393948001","state":"TX","issuer":null},{"type_code":"05","label":"Medicaid","value":"ENROLLED","state":"IA","issuer":null},{"type_code":"05","label":"Medicaid","value":"31692500","state":"WI","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20150323000618","type_code":"14-29","type_desc":"PRACTITIONER - PULMONARY DISEASE","state":"ID","pac_id":"7315915733"},{"enrlmt_id":"I20181109001408","type_code":"14-29","type_desc":"PRACTITIONER - PULMONARY DISEASE","state":"TX","pac_id":"7315915733"},{"enrlmt_id":"I20211119000284","type_code":"14-29","type_desc":"PRACTITIONER - PULMONARY DISEASE","state":"NC","pac_id":"7315915733"}]},"enumeration_date":"2005-06-14","last_updated":"2021-01-11","_meta":{"source":"NPPES","snapshot_date":"2021-01-11","doc_url":"https://findmynpi.com/api"}}