{"npi":"1679556229","type":"NPI-1","status":"active","name":{"display":"Douglas Fosselman M.D.","other":[],"first":"DOUGLAS","last":"FOSSELMAN","middle":"D","credential":"M.D."},"specialty":{"primary_taxonomy":"207R00000X","primary_taxonomy_description":"Internal Medicine","slug":"internal-medicine","schema_org_specialty":"Internal","all":[{"code":"207R00000X","description":"Internal Medicine","primary":true,"state":"OH","license":"35-04-9664"}]},"addresses":[{"purpose":"LOCATION","street_1":"555 W SCHROCK RD","city":"WESTERVILLE","state":"OH","postal_code":"430818702","country_code":"US","street_2":"SUITE 110","phone":"6148820708","fax":"6148822878"},{"purpose":"MAILING","street_1":"555 W SCHROCK RD","city":"WESTERVILLE","state":"OH","postal_code":"430818702","country_code":"US","street_2":"SUITE 110","phone":"6148820708","fax":"6148822878"}],"license":{"state":"OH","number":"35-04-9664"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"0605090","state":"OH","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20100105000809","type_code":"14-11","type_desc":"PRACTITIONER - INTERNAL MEDICINE","state":"OH","pac_id":"2365583820"}]},"enumeration_date":"2005-11-28","last_updated":"2011-03-15","_meta":{"source":"NPPES","snapshot_date":"2011-03-15","doc_url":"https://findmynpi.com/api"}}