{"npi":"1528200482","type":"NPI-1","status":"active","name":{"display":"Mr. Andrew Klausing PA-C","other":[],"first":"ANDREW","last":"KLAUSING","middle":"MICHAEL","credential":"PA-C"},"specialty":{"primary_taxonomy":"363A00000X","primary_taxonomy_description":"Physician Assistant","slug":"physician-assistant","schema_org_specialty":null,"all":[{"code":"363A00000X","description":"Physician Assistant","primary":true,"state":"OH","license":"50.002892RX"}]},"addresses":[{"purpose":"LOCATION","street_1":"801 PRO DR STE D4","city":"CELINA","state":"OH","postal_code":"458223307","country_code":"US","phone":"4195866480","fax":"4195864125"},{"purpose":"MAILING","street_1":"200 SAINT CLAIR AVE","city":"SAINT MARYS","state":"OH","postal_code":"458852400","country_code":"US","phone":"4193001129","fax":"4193949575"}],"license":{"state":"OH","number":"50.002892RX"},"identifiers":[{"type_code":"01","label":"Other","value":"1184652539","state":"OH","issuer":"JTDM FAMILY PRACTICE, LLC GROUP NPI"},{"type_code":"01","label":"Other","value":"9934723","state":"OH","issuer":"JTDM FAMILY PRACTICE, LLC GROUP MEDICARE PTAN"},{"type_code":"01","label":"Other","value":"H409552","state":null,"issuer":"MEDICARE PTAN"},{"type_code":"01","label":"Other","value":"0105065","state":"OH","issuer":"JTDM FAMILY PRACTICE, LLC GROUP MEDICAID"},{"type_code":"05","label":"Medicaid","value":"0075276","state":"OH","issuer":null},{"type_code":"01","label":"Other","value":"34-1689161","state":"OH","issuer":"JTDM FAMILY PRACTICE, LLC TAX ID"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20090509000029","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"OH","pac_id":"0648328245"}]},"enumeration_date":"2009-03-24","last_updated":"2020-08-07","_meta":{"source":"NPPES","snapshot_date":"2020-08-07","doc_url":"https://findmynpi.com/api"}}