{"npi":"1639188782","type":"NPI-1","status":"active","name":{"display":"Dr. Jon Carlson MD","other":[],"first":"JON","last":"CARLSON","middle":"K","credential":"MD"},"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":"WI","license":"40091"}]},"addresses":[{"purpose":"LOCATION","street_1":"855 N WESTHAVEN DR","city":"OSHKOSH","state":"WI","postal_code":"54904","country_code":"US","phone":"9203038700","fax":"9203038832"},{"purpose":"MAILING","street_1":"3 NEENAH CTR","city":"NEENAH","state":"WI","postal_code":"549563070","country_code":"US","phone":"9208305900","fax":"9208305910"}],"license":{"state":"WI","number":"40091"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"32541100","state":"WI","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20100624000440","type_code":"14-08","type_desc":"PRACTITIONER - FAMILY PRACTICE","state":"WI","pac_id":"8224169933"}]},"enumeration_date":"2006-08-07","last_updated":"2026-01-26","_meta":{"source":"NPPES","snapshot_date":"2026-01-26","doc_url":"https://findmynpi.com/api"}}