{"npi":"1457543985","type":"NPI-1","status":"active","name":{"display":"Glenson Samuel M.D.","other":[],"first":"GLENSON","last":"SAMUEL","credential":"M.D."},"specialty":{"primary_taxonomy":"2080P0207X","primary_taxonomy_description":"Pediatric Hematology & Oncology Physician","slug":"pediatric-hematology-oncology-physician","schema_org_specialty":null,"all":[{"code":"2080P0207X","description":"Pediatric Hematology & Oncology Physician","primary":true,"state":"MO","license":"2011011566"},{"code":"208000000X","description":"Pediatrics","primary":false,"state":"MO","license":"2011011566"},{"code":"208000000X","description":"Pediatrics","primary":false,"state":"IL","license":"125-053115"}]},"addresses":[{"purpose":"LOCATION","street_1":"2401 GILLHAM RD","city":"KANSAS CITY","state":"MO","postal_code":"641084619","country_code":"US","phone":"8162343000","fax":"8163029939"},{"purpose":"MAILING","street_1":"2401 GILLHAM RD","city":"KANSAS CITY","state":"MO","postal_code":"641084619","country_code":"US","street_2":"PROVIDER ENROLLMENT","phone":"8167015200","fax":"8163029939"}],"license":{"state":"MO","number":"2011011566"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"036125469","state":"IL","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20160719000667","type_code":"14-37","type_desc":"PRACTITIONER - PEDIATRIC MEDICINE","state":"MO","pac_id":"9931397098"}]},"enumeration_date":"2007-08-17","last_updated":"2025-12-18","_meta":{"source":"NPPES","snapshot_date":"2025-12-18","doc_url":"https://findmynpi.com/api"}}