{"npi":"1700147873","type":"NPI-1","status":"active","name":{"display":"Andrew Kimball M.D.","other":[],"first":"ANDREW","last":"KIMBALL","middle":"SCOTT","credential":"M.D."},"specialty":{"primary_taxonomy":"2086S0129X","primary_taxonomy_description":"Vascular Surgery Physician","slug":"vascular-surgery-physician","schema_org_specialty":null,"all":[{"code":"208600000X","description":"Surgery","primary":false,"state":"MI","license":"4301100257"},{"code":"2086S0129X","description":"Vascular Surgery Physician","primary":true,"state":"MI","license":"4301100257"}]},"addresses":[{"purpose":"LOCATION","street_1":"275 MICHIGAN ST NE","city":"GRAND RAPIDS","state":"MI","postal_code":"495032531","country_code":"US","phone":"6162678700","fax":"6162678247"},{"purpose":"MAILING","street_1":"100 MICHIGAN ST NE # MC845","city":"GRAND RAPIDS","state":"MI","postal_code":"495032560","country_code":"US"}],"license":{"state":"MI","number":"4301100257"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20210702001190","type_code":"14-77","type_desc":"PRACTITIONER - VASCULAR SURGERY","state":"MI","pac_id":"6002122587"},{"enrlmt_id":"I20251114003220","type_code":"14-77","type_desc":"PRACTITIONER - VASCULAR SURGERY","state":"AK","pac_id":"6002122587"}]},"enumeration_date":"2012-06-05","last_updated":"2025-01-27","_meta":{"source":"NPPES","snapshot_date":"2025-01-27","doc_url":"https://findmynpi.com/api"}}