{"npi":"1487695219","type":"NPI-1","status":"active","name":{"display":"Kristine Blackham MD","other":[],"first":"KRISTINE","last":"BLACKHAM","middle":"A","credential":"MD"},"specialty":{"primary_taxonomy":"2085N0700X","primary_taxonomy_description":"Radiology","slug":"radiology","schema_org_specialty":"Radiography","all":[{"code":"2085N0700X","description":"Radiology","primary":true,"state":"OH","license":"35084181"},{"code":"2085B0100X","description":"Body Imaging Physician","primary":false,"state":"OH","license":"35084181"},{"code":"2085D0003X","description":"Diagnostic Neuroimaging (Radiology) Physician","primary":false,"state":"OH","license":"35084181"},{"code":"2085R0202X","description":"Diagnostic Radiology","primary":false,"state":"OH","license":"35084181"},{"code":"2085U0001X","description":"Diagnostic Ultrasound Physician","primary":false,"state":"OH","license":"35084181"},{"code":"2085H0002X","description":"Hospice and Palliative Medicine (Radiology) Physician","primary":false,"state":"OH","license":"35084181"},{"code":"2085N0904X","description":"Nuclear Radiology Physician","primary":false,"state":"OH","license":"35084181"},{"code":"2085P0229X","description":"Pediatric Radiology Physician","primary":false,"state":"OH","license":"35084181"},{"code":"2085R0001X","description":"Radiation Oncology Physician","primary":false,"state":"OH","license":"35084181"},{"code":"2085R0203X","description":"Therapeutic Radiology Physician","primary":false,"state":"OH","license":"35084181"},{"code":"2085R0204X","description":"Vascular & Interventional Radiology Physician","primary":false,"state":"OH","license":"35084181"},{"code":"207U00000X","description":"Nuclear Medicine Physician","primary":false,"state":"OH","license":"35084181"},{"code":"207UN0903X","description":"In Vivo & In Vitro Nuclear Medicine Physician","primary":false,"state":"OH","license":"35084181"},{"code":"207UN0901X","description":"Nuclear Cardiology Physician","primary":false,"state":"OH","license":"35084181"},{"code":"207UN0902X","description":"Nuclear Imaging & Therapy Physician","primary":false,"state":"OH","license":"35084181"}]},"addresses":[{"purpose":"LOCATION","street_1":"11100 EUCLID AVE","city":"CLEVELAND","state":"OH","postal_code":"441061736","country_code":"US","phone":"2168441700","fax":"2162866341"},{"purpose":"MAILING","street_1":"24701 EUCLID AVE","city":"EUCLID","state":"OH","postal_code":"441171714","country_code":"US","street_2":"3RD FLOOR"}],"license":{"state":"OH","number":"35084181"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"1023171400001","state":"PA","issuer":null},{"type_code":"01","label":"Other","value":"732926","state":"OH","issuer":"BUCKEYE"},{"type_code":"05","label":"Medicaid","value":"2493707","state":"OH","issuer":null},{"type_code":"01","label":"Other","value":"000000503569","state":"OH","issuer":"ANTHEM"},{"type_code":"01","label":"Other","value":"0304914","state":"OH","issuer":"BCMH"},{"type_code":"01","label":"Other","value":"751556","state":"OH","issuer":"AETNA"},{"type_code":"01","label":"Other","value":"P00358779","state":"OH","issuer":"RAILROAD MEDICARE"},{"type_code":"01","label":"Other","value":"000000206509","state":"OH","issuer":"UNISON"},{"type_code":"01","label":"Other","value":"1487695219","state":"MI","issuer":"MI MEDICAID"},{"type_code":"01","label":"Other","value":"363360","state":"OH","issuer":"WELLCARE"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-06-10","last_updated":"2010-08-27","_meta":{"source":"NPPES","snapshot_date":"2010-08-27","doc_url":"https://findmynpi.com/api"}}