{"npi":"1740284371","type":"NPI-1","status":"active","name":{"display":"Dr. Michael Anton MD","other":[],"first":"MICHAEL","last":"ANTON","middle":"E.","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":false,"state":"GU","license":"MC-203"},{"code":"2085R0202X","description":"Diagnostic Radiology","primary":true,"state":"WV","license":"21512"}]},"addresses":[{"purpose":"LOCATION","street_1":"1120 KANAWHA BLVD E","city":"CHARLESTON","state":"WV","postal_code":"253012400","country_code":"US","phone":"3043443457","fax":"3043443480"},{"purpose":"MAILING","street_1":"PO BOX 11137","city":"CHARLESTON","state":"WV","postal_code":"253391137","country_code":"US","phone":"3043443457","fax":"3043443480"}],"license":{"state":"WV","number":"21512"},"identifiers":[{"type_code":"01","label":"Other","value":"151237200","state":"WV","issuer":"US DOL & US POSTAL COMP"},{"type_code":"05","label":"Medicaid","value":"2492253","state":"OH","issuer":null},{"type_code":"05","label":"Medicaid","value":"550516458","state":"WV","issuer":null},{"type_code":"01","label":"Other","value":"I07407","state":"WV","issuer":"BRICKSTREET INSURANCE"},{"type_code":"01","label":"Other","value":"0130753","state":"WV","issuer":"UMWA"},{"type_code":"01","label":"Other","value":"550516458","state":"WV","issuer":"ACORDIA NATIONAL PEIA"},{"type_code":"01","label":"Other","value":"14193","state":"WV","issuer":"CARELINK & CARELINK PEIA"},{"type_code":"01","label":"Other","value":"001718810","state":"WV","issuer":"FREEDOM BLUE & MT ST BCBS"},{"type_code":"01","label":"Other","value":"020011800","state":"WV","issuer":"FEDERAL BLACK LUNG"},{"type_code":"05","label":"Medicaid","value":"14175","state":"WV","issuer":null},{"type_code":"05","label":"Medicaid","value":"3810000056","state":"WV","issuer":null},{"type_code":"01","label":"Other","value":"55-0516458","state":"WV","issuer":"GROUP FEIN #"},{"type_code":"05","label":"Medicaid","value":"64080955","state":"KY","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20040709000252","type_code":"14-30","type_desc":"PRACTITIONER - DIAGNOSTIC RADIOLOGY","state":"WV","pac_id":"2668450420"},{"enrlmt_id":"I20230921001408","type_code":"14-30","type_desc":"PRACTITIONER - DIAGNOSTIC RADIOLOGY","state":"TX","pac_id":"2668450420"},{"enrlmt_id":"I20231227002807","type_code":"14-30","type_desc":"PRACTITIONER - DIAGNOSTIC RADIOLOGY","state":"KY","pac_id":"2668450420"},{"enrlmt_id":"I20240408001418","type_code":"14-30","type_desc":"PRACTITIONER - DIAGNOSTIC RADIOLOGY","state":"GU","pac_id":"2668450420"},{"enrlmt_id":"I20250224002308","type_code":"14-30","type_desc":"PRACTITIONER - DIAGNOSTIC RADIOLOGY","state":"OH","pac_id":"2668450420"}]},"enumeration_date":"2005-06-10","last_updated":"2024-06-13","_meta":{"source":"NPPES","snapshot_date":"2024-06-13","doc_url":"https://findmynpi.com/api"}}