{"npi":"1619061124","type":"NPI-1","status":"active","name":{"display":"Mark Yeazel M.D.","other":[],"first":"MARK","last":"YEAZEL","middle":"WILLIAM","credential":"M.D."},"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":"MN","license":"31743"}]},"addresses":[{"purpose":"LOCATION","street_1":"1020 WEST BROADWAY","city":"MINNEAPOLIS","state":"MN","postal_code":"55411","country_code":"US","phone":"6123028200","fax":"6123028275"},{"purpose":"MAILING","street_1":"720 WASHIGNTON AVE SE","city":"MINNEAPOLIS","state":"MN","postal_code":"55414","country_code":"US","street_2":"UNIVERSITY OF MINNESOTA PHYSICIANS","phone":"6128840649"}],"license":{"state":"MN","number":"31743"},"identifiers":[{"type_code":"01","label":"Other","value":"092585","state":"MN","issuer":"FAIRVIEW"},{"type_code":"05","label":"Medicaid","value":"570002700","state":"MN","issuer":null},{"type_code":"01","label":"Other","value":"01-03328","state":"MN","issuer":"MEDICA - CHOICE"},{"type_code":"01","label":"Other","value":"100588","state":"MN","issuer":"UCARE"},{"type_code":"01","label":"Other","value":"58D72YE","state":"MN","issuer":"BLUE CROSS BLUE SHIELD"},{"type_code":"01","label":"Other","value":"HP17443","state":"MN","issuer":"HEALTHPARTNERS"},{"type_code":"01","label":"Other","value":"1009362","state":"MN","issuer":"PREFERREDONE"},{"type_code":"01","label":"Other","value":"768420","state":"MN","issuer":"ARAZ"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20100818001325","type_code":"14-08","type_desc":"PRACTITIONER - FAMILY PRACTICE","state":"MN","pac_id":"3072647510"}]},"enumeration_date":"2006-10-02","last_updated":"2012-04-23","_meta":{"source":"NPPES","snapshot_date":"2012-04-23","doc_url":"https://findmynpi.com/api"}}