{"npi":"1689638322","type":"NPI-1","status":"active","name":{"display":"Dr. Mark Middendorf MD","other":[],"first":"MARK","last":"MIDDENDORF","middle":"EDWARD","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":"KY","license":"20166"}]},"addresses":[{"purpose":"LOCATION","street_1":"5522 TAYLOR MILL RD","city":"TAYLOR MILL","state":"KY","postal_code":"410152264","country_code":"US","phone":"8574912855","fax":"8596554395"},{"purpose":"MAILING","street_1":"2300 CHAMBER CENTER DR","city":"LAKESIDE PARK","state":"KY","postal_code":"410171673","country_code":"US","phone":"8593445555","fax":"8596554395"}],"license":{"state":"KY","number":"20166"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"0461441","state":"OH","issuer":null},{"type_code":"05","label":"Medicaid","value":"64201668","state":"KY","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-04-12","last_updated":"2015-09-28","_meta":{"source":"NPPES","snapshot_date":"2015-09-28","doc_url":"https://findmynpi.com/api"}}