{"npi":"1629123716","type":"NPI-1","status":"active","name":{"display":"Ms. Amy Dysart MD","other":[],"first":"AMY","last":"DYSART","middle":"R","credential":"MD"},"specialty":{"primary_taxonomy":"207V00000X","primary_taxonomy_description":"Obstetrics & Gynecology","slug":"ob-gyn","schema_org_specialty":"Obstetric","all":[{"code":"207V00000X","description":"Obstetrics & Gynecology","primary":false,"state":"IL","license":"036-165653"},{"code":"207V00000X","description":"Obstetrics & Gynecology","primary":true,"state":"WI","license":"43777"}]},"addresses":[{"purpose":"LOCATION","street_1":"5300 MEMORIAL DR","city":"TWO RIVERS","state":"WI","postal_code":"542413923","country_code":"US","phone":"9207936500","fax":"9207936501"},{"purpose":"MAILING","street_1":"PO BOX 735044","city":"CHICAGO","state":"IL","postal_code":"606735044","country_code":"US","phone":"8003262250"}],"license":{"state":"WI","number":"43777"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"70033900","state":"WI","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20041105000194","type_code":"14-16","type_desc":"PRACTITIONER - OBSTETRICS/GYNECOLOGY","state":"WI","pac_id":"8426011099"},{"enrlmt_id":"I20230728001842","type_code":"14-16","type_desc":"PRACTITIONER - OBSTETRICS/GYNECOLOGY","state":"IL","pac_id":"8426011099"},{"enrlmt_id":"I20260227001192","type_code":"14-16","type_desc":"PRACTITIONER - OBSTETRICS/GYNECOLOGY","state":"MI","pac_id":"8426011099"}]},"enumeration_date":"2007-01-25","last_updated":"2026-04-09","_meta":{"source":"NPPES","snapshot_date":"2026-04-09","doc_url":"https://findmynpi.com/api"}}