{"npi":"1558069476","type":"NPI-2","status":"active","name":{"display":"Glow Pediatrics, PLLC","other":[],"organization_name":"GLOW PEDIATRICS, PLLC","authorised_official":"Hokehe Eko"},"specialty":{"primary_taxonomy":"208000000X","primary_taxonomy_description":"Pediatrics","slug":"pediatrics","schema_org_specialty":"Pediatric","all":[{"code":"208000000X","description":"Pediatrics","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"1601 SW PARKRIDGE BLVD STE 304","city":"LAWTON","state":"OK","postal_code":"735057569","country_code":"US","phone":"4058715807"},{"purpose":"MAILING","street_1":"1601 SW PARKRIDGE BLVD STE 304","city":"LAWTON","state":"OK","postal_code":"735057569","country_code":"US","phone":"4058715807"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"1811208945","state":"OK","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2023-02-20","last_updated":"2024-01-26","_meta":{"source":"NPPES","snapshot_date":"2024-01-26","doc_url":"https://findmynpi.com/api"}}