{"npi":"1528096849","type":"NPI-1","status":"active","name":{"display":"Dr. Stephen Sudderth MD","other":[],"first":"STEPHEN","last":"SUDDERTH","middle":"D","credential":"MD"},"specialty":{"primary_taxonomy":"208600000X","primary_taxonomy_description":"Surgery","slug":"surgery","schema_org_specialty":"Surgical","all":[{"code":"208600000X","description":"Surgery","primary":true,"state":"MS","license":"17597"}]},"addresses":[{"purpose":"LOCATION","street_1":"188 YMCA PL","city":"VICKSBURG","state":"MS","postal_code":"391833536","country_code":"US","phone":"6016367222","fax":"6016360440"},{"purpose":"MAILING","street_1":"188 YMCA PL","city":"VICKSBURG","state":"MS","postal_code":"391833536","country_code":"US","phone":"6016367222","fax":"6016360440"}],"license":{"state":"MS","number":"17597"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"00126115","state":"MS","issuer":null},{"type_code":"05","label":"Medicaid","value":"1986712","state":"LA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20171109002280","type_code":"33-02","type_desc":"ORDER AND REFERRING ONLY - GENERAL SURGERY","state":"MS","pac_id":"7012064470"}]},"enumeration_date":"2006-06-28","last_updated":"2014-02-21","_meta":{"source":"NPPES","snapshot_date":"2014-02-21","doc_url":"https://findmynpi.com/api"}}