{"npi":"1407871684","type":"NPI-1","status":"active","name":{"display":"John Warren MD","other":[],"first":"JOHN","last":"WARREN","middle":"TRACY","credential":"MD"},"specialty":{"primary_taxonomy":"207QG0300X","primary_taxonomy_description":"Family Medicine, Geriatric Medicine","slug":"family-medicine-geriatric","schema_org_specialty":"Geriatric","all":[{"code":"207Q00000X","description":"Family Medicine","primary":false,"state":"WI","license":"29771"},{"code":"207QG0300X","description":"Family Medicine, Geriatric Medicine","primary":true,"state":"WI","license":"29771-020"}]},"addresses":[{"purpose":"LOCATION","street_1":"11 POND VIEW DR","city":"JERICHO","state":"VT","postal_code":"054652030","country_code":"US","phone":"9204351503"},{"purpose":"MAILING","street_1":"11 POND VIEW DR","city":"JERICHO","state":"VT","postal_code":"054652030","country_code":"US","phone":"9202466288"}],"license":{"state":"WI","number":"29771-020"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"31516000","state":"WI","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20231114003316","type_code":"33-08","type_desc":"ORDER AND REFERRING ONLY - FAMILY PRACTICE","state":"VT","pac_id":"2365527926"}]},"enumeration_date":"2006-07-12","last_updated":"2022-11-23","_meta":{"source":"NPPES","snapshot_date":"2022-11-23","doc_url":"https://findmynpi.com/api"}}