{"npi":"1689640823","type":"NPI-1","status":"active","name":{"display":"Dr. Michael Georgetson MD","other":[],"first":"MICHAEL","last":"GEORGETSON","middle":"J.","credential":"MD"},"specialty":{"primary_taxonomy":"207RG0100X","primary_taxonomy_description":"Gastroenterology","slug":"gastroenterology","schema_org_specialty":"Gastroenterologic","all":[{"code":"207RG0100X","description":"Gastroenterology","primary":false,"state":"NY","license":"174652-1"},{"code":"207RG0100X","description":"Gastroenterology","primary":true,"state":"PA","license":"MD036907E"}]},"addresses":[{"purpose":"LOCATION","street_1":"1 GUTHRIE SQ","city":"SAYRE","state":"PA","postal_code":"188401625","country_code":"US","phone":"5708885858"},{"purpose":"MAILING","street_1":"1 GUTHRIE SQ","city":"SAYRE","state":"PA","postal_code":"188401625","country_code":"US","phone":"5708885858"}],"license":{"state":"PA","number":"MD036907E"},"identifiers":[{"type_code":"01","label":"Other","value":"CC8362","state":"NY","issuer":"RR MEDICARE GROUP"},{"type_code":"01","label":"Other","value":"P00379066","state":"NY","issuer":"RR MEDICARE PIN"},{"type_code":"01","label":"Other","value":"GU039897","state":"PA","issuer":"MEDICARE GROUP"},{"type_code":"01","label":"Other","value":"100014270","state":"PA","issuer":"RR MEDICARE PIN"},{"type_code":"05","label":"Medicaid","value":"0010736000002","state":"PA","issuer":null},{"type_code":"01","label":"Other","value":"CC9269","state":"PA","issuer":"RR MEDICARE GROUP"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20110121000971","type_code":"14-10","type_desc":"PRACTITIONER - GASTROENTEROLOGY","state":"PA","pac_id":"5395924351"},{"enrlmt_id":"I20111128000122","type_code":"14-10","type_desc":"PRACTITIONER - GASTROENTEROLOGY","state":"NY","pac_id":"5395924351"}]},"enumeration_date":"2006-02-27","last_updated":"2021-03-05","_meta":{"source":"NPPES","snapshot_date":"2021-03-05","doc_url":"https://findmynpi.com/api"}}