{"npi":"1659369031","type":"NPI-2","status":"active","name":{"display":"Thomas E. Jacob, D.P.M., P.C.","other":[],"organization_name":"THOMAS E. JACOB, D.P.M., P.C.","authorised_official":"Nannette Lingeman"},"specialty":{"primary_taxonomy":"213ES0103X","primary_taxonomy_description":"Foot & Ankle Surgery Podiatrist","slug":"foot-ankle-surgery-podiatrist","schema_org_specialty":null,"all":[{"code":"213ES0103X","description":"Foot & Ankle Surgery Podiatrist","primary":true,"state":"MI","license":"59010000499"}]},"addresses":[{"purpose":"LOCATION","street_1":"23700 GRATIOT AVE","city":"EASTPOINTE","state":"MI","postal_code":"480211647","country_code":"US","phone":"5867791160","fax":"5867791163"},{"purpose":"MAILING","street_1":"23700 GRATIOT AVE","city":"EASTPOINTE","state":"MI","postal_code":"480211647","country_code":"US","phone":"5867791160","fax":"5867791163"}],"license":{"state":"MI","number":"59010000499"},"identifiers":[{"type_code":"01","label":"Other","value":"000000002745","state":"MI","issuer":"CAPE HEALTH PLAN"},{"type_code":"01","label":"Other","value":"1014915-0001","state":"MI","issuer":"WELLNESS PLAN"},{"type_code":"01","label":"Other","value":"121471","state":"MI","issuer":"CARE CHOICE HMO"},{"type_code":"01","label":"Other","value":"0737520001","state":"MI","issuer":"DME MEDICARE"},{"type_code":"01","label":"Other","value":"101301","state":"MI","issuer":"GREAT LAKES HEALTH PLAN"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2005-10-11","last_updated":"2020-08-22","_meta":{"source":"NPPES","snapshot_date":"2020-08-22","doc_url":"https://findmynpi.com/api"}}