{"npi":"1528027794","type":"NPI-1","status":"active","name":{"display":"William Wiedemer D.P.M.","other":[],"first":"WILLIAM","last":"WIEDEMER","middle":"J","credential":"D.P.M."},"specialty":{"primary_taxonomy":"213E00000X","primary_taxonomy_description":"Podiatry","slug":"podiatry","schema_org_specialty":"Podiatric","all":[{"code":"213E00000X","description":"Podiatry","primary":true,"state":"PA","license":"SC004522L"}]},"addresses":[{"purpose":"LOCATION","street_1":"711 LOGAN BLVD","city":"ALTOONA","state":"PA","postal_code":"166024165","country_code":"US","phone":"8149433668","fax":"8149427635"},{"purpose":"MAILING","street_1":"711 LOGAN BLVD","city":"ALTOONA","state":"PA","postal_code":"166024165","country_code":"US","phone":"8149433668","fax":"8149427635"}],"license":{"state":"PA","number":"SC004522L"},"identifiers":[{"type_code":"01","label":"Other","value":"000505853","state":"PA","issuer":"HIGHMARK BLUE SHIELD INDV"},{"type_code":"01","label":"Other","value":"000546370","state":"PA","issuer":"HIGHMARK BLUE SHLD GRP"},{"type_code":"05","label":"Medicaid","value":"0018087500001","state":"PA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20081119000281","type_code":"14-48","type_desc":"PRACTITIONER - PODIATRY","state":"PA","pac_id":"4587724653"}]},"enumeration_date":"2006-03-17","last_updated":"2023-06-20","_meta":{"source":"NPPES","snapshot_date":"2023-06-20","doc_url":"https://findmynpi.com/api"}}