{"npi":"1710241880","type":"NPI-1","status":"active","name":{"display":"Dr. Anthony Orvedahl MD","other":[],"first":"ANTHONY","last":"ORVEDAHL","middle":"WALTER","credential":"MD"},"specialty":{"primary_taxonomy":"2080P0208X","primary_taxonomy_description":"Pediatric Infectious Diseases","slug":"pediatric-infectious-diseases","schema_org_specialty":"Infectious","all":[{"code":"2080P0208X","description":"Pediatric Infectious Diseases","primary":true,"state":"MO","license":"2017008344"},{"code":"208000000X","description":"Pediatrics","primary":false,"state":"MO","license":"2017008344"}]},"addresses":[{"purpose":"LOCATION","street_1":"1 CHILDRENS PL","city":"SAINT LOUIS","state":"MO","postal_code":"631101002","country_code":"US","street_2":"DIV PED INFECTIOUS DISEASE","phone":"3144546050","fax":"8558877850"},{"purpose":"MAILING","street_1":"PO BOX 7412011","city":"CHICAGO","state":"IL","postal_code":"606742011","country_code":"US","phone":"3144546050","fax":"8558877850"}],"license":{"state":"MO","number":"2017008344"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"200055216","state":"MO","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20180627000546","type_code":"14-44","type_desc":"PRACTITIONER - INFECTIOUS DISEASE","state":"MO","pac_id":"9739435124"}]},"enumeration_date":"2012-07-03","last_updated":"2025-04-17","_meta":{"source":"NPPES","snapshot_date":"2025-04-17","doc_url":"https://findmynpi.com/api"}}