{"npi":"1528018751","type":"NPI-1","status":"active","name":{"display":"Gregory Mieckowski M.D.","other":[],"first":"GREGORY","last":"MIECKOWSKI","middle":"C","credential":"M.D."},"specialty":{"primary_taxonomy":"2085R0202X","primary_taxonomy_description":"Diagnostic Radiology","slug":"diagnostic-radiology","schema_org_specialty":"Radiography","all":[{"code":"2085R0202X","description":"Diagnostic Radiology","primary":true,"state":"PA","license":"MD026705E"},{"code":"2085B0100X","description":"Body Imaging Physician","primary":false,"state":"PA","license":"MD026705E"},{"code":"2085N0904X","description":"Nuclear Radiology Physician","primary":false,"state":"PA","license":"MD026705E"},{"code":"2085P0229X","description":"Pediatric Radiology Physician","primary":false,"state":"PA","license":"MD026705E"},{"code":"2085R0204X","description":"Vascular & Interventional Radiology Physician","primary":false,"state":"PA","license":"MD026705E"},{"code":"2085U0001X","description":"Diagnostic Ultrasound Physician","primary":false,"state":"PA","license":"MD026705E"}]},"addresses":[{"purpose":"LOCATION","street_1":"809 TURNPIKE AVE","city":"CLEARFIELD","state":"PA","postal_code":"168301232","country_code":"US","street_2":"IMAGING DEPARTMENT","phone":"8147657314","fax":"8143396165"},{"purpose":"MAILING","street_1":"PO BOX 129","city":"CLEARFIELD","state":"PA","postal_code":"168300129","country_code":"US","phone":"8147657314","fax":"8143396165"}],"license":{"state":"PA","number":"MD026705E"},"identifiers":[{"type_code":"01","label":"Other","value":"300135692","state":null,"issuer":"RR MEDICARE"},{"type_code":"05","label":"Medicaid","value":"0009876470004","state":"PA","issuer":null},{"type_code":"01","label":"Other","value":"026156","state":"PA","issuer":"HIGHMARK"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20210709001825","type_code":"14-30","type_desc":"PRACTITIONER - DIAGNOSTIC RADIOLOGY","state":"OH","pac_id":"8325114143"}]},"enumeration_date":"2006-05-10","last_updated":"2008-10-17","_meta":{"source":"NPPES","snapshot_date":"2008-10-17","doc_url":"https://findmynpi.com/api"}}