{"npi":"1609867019","type":"NPI-1","status":"active","name":{"display":"Anthony Henry DO","other":[],"first":"ANTHONY","last":"HENRY","middle":"C","credential":"DO"},"specialty":{"primary_taxonomy":"207Q00000X","primary_taxonomy_description":"Family Medicine","slug":"family-medicine","schema_org_specialty":"PrimaryCare","all":[{"code":"207Q00000X","description":"Family Medicine","primary":true,"state":"IN","license":"02001404A"}]},"addresses":[{"purpose":"LOCATION","street_1":"10215 AUBURN PARK DR","city":"FORT WAYNE","state":"IN","postal_code":"468252387","country_code":"US","phone":"2602345400","fax":"2602345110"},{"purpose":"MAILING","street_1":"250 N SHADELAND AVE","city":"INDIANAPOLIS","state":"IN","postal_code":"462194959","country_code":"US"}],"license":{"state":"IN","number":"02001404A"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"100329430","state":"IN","issuer":null},{"type_code":"01","label":"Other","value":"000000091891","state":null,"issuer":"BLUE CROSS BLUE SHIELD"},{"type_code":"01","label":"Other","value":"P00970619","state":"IN","issuer":"RAILROAD MEDICARE"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20040826000922","type_code":"14-08","type_desc":"PRACTITIONER - FAMILY PRACTICE","state":"IN","pac_id":"2062487846"}]},"enumeration_date":"2005-11-03","last_updated":"2025-01-09","_meta":{"source":"NPPES","snapshot_date":"2025-01-09","doc_url":"https://findmynpi.com/api"}}