{"npi":"1679643183","type":"NPI-2","status":"active","name":{"display":"Demetrio J Agcaoili MD LLC","other":[],"organization_name":"DEMETRIO J AGCAOILI MD LLC","authorised_official":"Demetrio Agcaoili"},"specialty":{"primary_taxonomy":"207RI0200X","primary_taxonomy_description":"Infectious Disease","slug":"infectious-disease","schema_org_specialty":"Infectious","all":[{"code":"207RI0200X","description":"Infectious Disease","primary":true,"state":"OH","license":"35083354"}]},"addresses":[{"purpose":"LOCATION","street_1":"51520 NATIONAL ROAD E","city":"SAINTCLAIRSVILLE","state":"OH","postal_code":"439508213","country_code":"US","street_2":"SUITE 5","phone":"7402965931","fax":"7402965942"},{"purpose":"MAILING","street_1":"51520 NATIONAL ROAD E","city":"SAINTCLAIRSVILLE","state":"OH","postal_code":"439508213","country_code":"US","street_2":"SUITE 5","phone":"7402965931","fax":"7402965942"}],"license":{"state":"OH","number":"35083354"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"1841957000","state":"WV","issuer":null},{"type_code":"05","label":"Medicaid","value":"2413267","state":"OH","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20110927000611","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"WV","pac_id":"3577734318"},{"enrlmt_id":"O20210426000997","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"OH","pac_id":"3577734318"}]},"enumeration_date":"2006-11-09","last_updated":"2020-07-23","_meta":{"source":"NPPES","snapshot_date":"2020-07-23","doc_url":"https://findmynpi.com/api"}}