{"npi":"1629005111","type":"NPI-1","status":"active","name":{"display":"Renee Mesack P.A.-C","other":[],"first":"RENEE","last":"MESACK","middle":"DEANNE","credential":"P.A.-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":"MI","license":"5601002853"}]},"addresses":[{"purpose":"LOCATION","street_1":"1996 WALDEN DR","city":"GAYLORD","state":"MI","postal_code":"497358241","country_code":"US","phone":"9897314111","fax":"9897058511"},{"purpose":"MAILING","street_1":"829 N CENTER AVE","city":"GAYLORD","state":"MI","postal_code":"497351595","country_code":"US","street_2":"SUITE 298","phone":"9897317708","fax":"9897317929"}],"license":{"state":"MI","number":"5601002853"},"identifiers":[{"type_code":"01","label":"Other","value":"381303843","state":null,"issuer":"TAX ID"},{"type_code":"01","label":"Other","value":"OF96004","state":null,"issuer":"MEDICARE GROUP NUMBER"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-06-28","last_updated":"2013-12-03","_meta":{"source":"NPPES","snapshot_date":"2013-12-03","doc_url":"https://findmynpi.com/api"}}