{"npi":"1710989322","type":"NPI-1","status":"active","name":{"display":"Samuel Donegan MD","other":[],"first":"SAMUEL","last":"DONEGAN","middle":"P","credential":"MD"},"specialty":{"primary_taxonomy":"207V00000X","primary_taxonomy_description":"Obstetrics & Gynecology","slug":"ob-gyn","schema_org_specialty":"Obstetric","all":[{"code":"207V00000X","description":"Obstetrics & Gynecology","primary":false,"state":"MD","license":"D0068818"},{"code":"207V00000X","description":"Obstetrics & Gynecology","primary":true,"state":"MA","license":"56194"}]},"addresses":[{"purpose":"LOCATION","street_1":"830 OAK STREET","city":"BROCKTON","state":"MA","postal_code":"02301","country_code":"US","street_2":"SUITE 223E","phone":"5084272222","fax":"5088974773"},{"purpose":"MAILING","street_1":"960 MASSACHUSETTS AVENUE","city":"BALTIMORE","state":"MA","postal_code":"021182690","country_code":"US","street_2":"FL 2"}],"license":{"state":"MA","number":"56194"},"identifiers":[{"type_code":"01","label":"Other","value":"152599ZEZT","state":"MD","issuer":"MEDICARE PTAN"},{"type_code":"05","label":"Medicaid","value":"022452900","state":"MD","issuer":null},{"type_code":"01","label":"Other","value":"165767","state":"MD","issuer":"MEDICARE GROUP PTAN"},{"type_code":"05","label":"Medicaid","value":"110043227A","state":"MA","issuer":null},{"type_code":"01","label":"Other","value":"950201","state":"MD","issuer":"CAREFIRST RENDERING NUMBER"},{"type_code":"01","label":"Other","value":"Q818-0019","state":null,"issuer":"CAREFIRST"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20050404000032","type_code":"14-16","type_desc":"PRACTITIONER - OBSTETRICS/GYNECOLOGY","state":"MA","pac_id":"7113974098"}]},"enumeration_date":"2005-08-12","last_updated":"2025-03-10","_meta":{"source":"NPPES","snapshot_date":"2025-03-10","doc_url":"https://findmynpi.com/api"}}