{"npi":"1730188780","type":"NPI-1","status":"active","name":{"display":"Timothy Hetzer MD","other":[],"first":"TIMOTHY","last":"HETZER","middle":"B","credential":"MD"},"specialty":{"primary_taxonomy":"2085R0202X","primary_taxonomy_description":"Diagnostic Radiology","slug":"diagnostic-radiology","schema_org_specialty":"Radiography","all":[{"code":"2085R0202X","description":"Diagnostic Radiology","primary":true,"state":"WV","license":"11569"}]},"addresses":[{"purpose":"LOCATION","street_1":"700 VILLAGE DR","city":"FAIRMONT","state":"WV","postal_code":"265547985","country_code":"US","phone":"3043662600"},{"purpose":"MAILING","street_1":"PO BOX 890707","city":"CHARLOTTE","state":"NC","postal_code":"282890707","country_code":"US","phone":"8663386463"}],"license":{"state":"WV","number":"11569"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"0123299000","state":"WV","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2005-07-20","last_updated":"2007-07-19","_meta":{"source":"NPPES","snapshot_date":"2007-07-19","doc_url":"https://findmynpi.com/api"}}