{"npi":"1750803474","type":"NPI-1","status":"active","name":{"display":"Matthew Peterson PA-C","other":[],"first":"MATTHEW","last":"PETERSON","middle":"D","credential":"PA-C"},"specialty":{"primary_taxonomy":"363A00000X","primary_taxonomy_description":"Physician Assistant","slug":"physician-assistant","schema_org_specialty":null,"all":[{"code":"363A00000X","description":"Physician Assistant","primary":true,"state":"WI","license":"4071-23"}]},"addresses":[{"purpose":"LOCATION","street_1":"10400 75TH ST","city":"KENOSHA","state":"WI","postal_code":"531427884","country_code":"US","phone":"2629485600"},{"purpose":"MAILING","street_1":"3301 W FOREST HOME AVE","city":"MILWAUKEE","state":"WI","postal_code":"532152843","country_code":"US","phone":"2629485600","fax":"4142906755"}],"license":{"state":"WI","number":"4071-23"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20170907000181","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"WI","pac_id":"1254604655"}]},"enumeration_date":"2017-07-14","last_updated":"2022-11-29","_meta":{"source":"NPPES","snapshot_date":"2022-11-29","doc_url":"https://findmynpi.com/api"}}