{"npi":"1528079324","type":"NPI-1","status":"active","name":{"display":"Mark Kolasa MD","other":[],"first":"MARK","last":"KOLASA","middle":"W","credential":"MD"},"specialty":{"primary_taxonomy":"207RC0001X","primary_taxonomy_description":"Clinical Cardiac Electrophysiology Physician","slug":"clinical-cardiac-electrophysiology-physician","schema_org_specialty":null,"all":[{"code":"207RC0000X","description":"Cardiovascular Disease","primary":false,"state":"ME","license":"MD21491"},{"code":"207RC0001X","description":"Clinical Cardiac Electrophysiology Physician","primary":true,"state":"ME","license":"MD21491"}]},"addresses":[{"purpose":"LOCATION","street_1":"60 HIGH ST","city":"LEWISTON","state":"ME","postal_code":"042407616","country_code":"US","phone":"2077533900","fax":"2077533902"},{"purpose":"MAILING","street_1":"60 HIGH ST","city":"LEWISTON","state":"ME","postal_code":"042407616","country_code":"US","phone":"2077533900"}],"license":{"state":"ME","number":"MD21491"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"699153000","state":"MN","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20170425000122","type_code":"14-21","type_desc":"PRACTITIONER - CARDIAC ELECTROPHYSIOLOGY","state":"ME","pac_id":"9638193170"},{"enrlmt_id":"I20200914000700","type_code":"14-21","type_desc":"PRACTITIONER - CARDIAC ELECTROPHYSIOLOGY","state":"NC","pac_id":"9638193170"}]},"enumeration_date":"2006-08-10","last_updated":"2017-11-13","_meta":{"source":"NPPES","snapshot_date":"2017-11-13","doc_url":"https://findmynpi.com/api"}}