{"npi":"1477508232","type":"NPI-1","status":"active","name":{"display":"Dr. Derek Mitzel M.D.","other":[],"first":"DEREK","last":"MITZEL","middle":"JAMES","credential":"M.D."},"specialty":{"primary_taxonomy":"207L00000X","primary_taxonomy_description":"Anesthesiology","slug":"anesthesiology","schema_org_specialty":"Anesthesia","all":[{"code":"207LC0200X","description":"Critical Care Medicine (Anesthesiology) Physician","primary":false,"state":"AZ","license":"4296"},{"code":"207L00000X","description":"Anesthesiology","primary":true,"state":"AZ","license":"4296"}]},"addresses":[{"purpose":"LOCATION","street_1":"18205 N 51ST AVE","city":"GLENDALE","state":"AZ","postal_code":"853081490","country_code":"US","street_2":"SUITE 109","phone":"6025471400","fax":"6025471401"},{"purpose":"MAILING","street_1":"18205 N 51ST AVE","city":"GLENDALE","state":"AZ","postal_code":"853081490","country_code":"US","street_2":"SUITE 109","phone":"6025471400","fax":"6025471401"}],"license":{"state":"AZ","number":"4296"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"116627","state":"AZ","issuer":null},{"type_code":"01","label":"Other","value":"Z115507","state":null,"issuer":"MEDICARE ID"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20070628000220","type_code":"14-05","type_desc":"PRACTITIONER - ANESTHESIOLOGY","state":"AZ","pac_id":"1557341906"}]},"enumeration_date":"2006-05-23","last_updated":"2008-05-27","_meta":{"source":"NPPES","snapshot_date":"2008-05-27","doc_url":"https://findmynpi.com/api"}}