{"npi":"1659875136","type":"NPI-1","status":"active","name":{"display":"Matthew Novack MD","other":[],"first":"MATTHEW","last":"NOVACK","credential":"MD"},"specialty":{"primary_taxonomy":"207Q00000X","primary_taxonomy_description":"Family Medicine","slug":"family-medicine","schema_org_specialty":"PrimaryCare","all":[{"code":"208M00000X","description":"Hospitalist","primary":false,"state":"WA","license":"MD61105776"},{"code":"207Q00000X","description":"Family Medicine","primary":true,"state":"WA","license":"MD61105776"}]},"addresses":[{"purpose":"LOCATION","street_1":"240 W FRONT ST","city":"PORT ANGELES","state":"WA","postal_code":"983622609","country_code":"US","phone":"3604527891","fax":"3604528087"},{"purpose":"MAILING","street_1":"240 W FRONT ST","city":"PORT ANGELES","state":"WA","postal_code":"983622609","country_code":"US","phone":"3604527891","fax":"3604528087"}],"license":{"state":"WA","number":"MD61105776"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"2104109","state":"WA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20210805000640","type_code":"14-08","type_desc":"PRACTITIONER - FAMILY PRACTICE","state":"WA","pac_id":"5294086336"}]},"enumeration_date":"2018-03-20","last_updated":"2024-02-08","_meta":{"source":"NPPES","snapshot_date":"2024-02-08","doc_url":"https://findmynpi.com/api"}}