{"npi":"1730182841","type":"NPI-1","status":"active","name":{"display":"Mitchell Wicker MD","other":[],"first":"MITCHELL","last":"WICKER","credential":"MD"},"specialty":{"primary_taxonomy":"207R00000X","primary_taxonomy_description":"Internal Medicine","slug":"internal-medicine","schema_org_specialty":"Internal","all":[{"code":"207R00000X","description":"Internal Medicine","primary":true,"state":"KY","license":"21790"}]},"addresses":[{"purpose":"LOCATION","street_1":"271 E MAIN ST","city":"HAZARD","state":"KY","postal_code":"417011939","country_code":"US","phone":"6064391316","fax":"6064350752"},{"purpose":"MAILING","street_1":"PO BOX 719","city":"HAZARD","state":"KY","postal_code":"417020719","country_code":"US","phone":"6064391316","fax":"6064350752"}],"license":{"state":"KY","number":"21790"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"64217904","state":"KY","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20051010000471","type_code":"14-11","type_desc":"PRACTITIONER - INTERNAL MEDICINE","state":"KY","pac_id":"2365337946"}]},"enumeration_date":"2005-05-23","last_updated":"2010-12-09","_meta":{"source":"NPPES","snapshot_date":"2010-12-09","doc_url":"https://findmynpi.com/api"}}