{"npi":"1750363685","type":"NPI-1","status":"active","name":{"display":"Mr. Christopher Tipton Pac","other":[],"first":"CHRISTOPHER","last":"TIPTON","middle":"JOSEPH","credential":"PAC"},"specialty":{"primary_taxonomy":"363A00000X","primary_taxonomy_description":"Physician Assistant","slug":"physician-assistant","schema_org_specialty":null,"all":[{"code":"363AM0700X","description":"Medical Physician Assistant","primary":false,"state":"WV","license":"969"},{"code":"363A00000X","description":"Physician Assistant","primary":true,"state":"WV","license":"342"}]},"addresses":[{"purpose":"LOCATION","street_1":"600 E MCDONALD AVE","city":"MAN","state":"WV","postal_code":"256351023","country_code":"US","phone":"3045838585","fax":"3045830129"},{"purpose":"MAILING","street_1":"7400 LYNN AVE","city":"HAMLIN","state":"WV","postal_code":"255231138","country_code":"US","phone":"3048245806","fax":"3048245885"}],"license":{"state":"WV","number":"342"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"3810025955","state":"WV","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20031106000674","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"WV","pac_id":"1153234125"}]},"enumeration_date":"2005-11-16","last_updated":"2024-08-21","_meta":{"source":"NPPES","snapshot_date":"2024-08-21","doc_url":"https://findmynpi.com/api"}}