{"npi":"1710278007","type":"NPI-1","status":"active","name":{"display":"Spencer Rusin MD","other":[],"first":"SPENCER","last":"RUSIN","middle":"LOUIS","credential":"MD"},"specialty":{"primary_taxonomy":"207ZP0102X","primary_taxonomy_description":"Anatomic & Clinical Pathology","slug":"pathology","schema_org_specialty":"Pathology","all":[{"code":"207ZP0102X","description":"Anatomic & Clinical Pathology","primary":true,"state":"WI","license":"75333-20"},{"code":"207ZP0102X","description":"Anatomic & Clinical Pathology","primary":false,"state":"VA","license":"0101260209"}]},"addresses":[{"purpose":"LOCATION","street_1":"8901 W LINCOLN AVE","city":"WEST ALLIS","state":"WI","postal_code":"532272409","country_code":"US","phone":"4143287997"},{"purpose":"MAILING","street_1":"8901 W LINCOLN AVE","city":"WEST ALLIS","state":"WI","postal_code":"532272409","country_code":"US"}],"license":{"state":"WI","number":"75333-20"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"1710278007","state":"VA","issuer":null},{"type_code":"05","label":"Medicaid","value":"100175540","state":"WI","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20210824001746","type_code":"14-22","type_desc":"PRACTITIONER - PATHOLOGY","state":"WI","pac_id":"2365667920"}]},"enumeration_date":"2011-04-21","last_updated":"2022-01-03","_meta":{"source":"NPPES","snapshot_date":"2022-01-03","doc_url":"https://findmynpi.com/api"}}