{"npi":"1780669267","type":"NPI-1","status":"active","name":{"display":"Derron Wilson MD","other":[],"first":"DERRON","last":"WILSON","credential":"MD"},"specialty":{"primary_taxonomy":"207LP2900X","primary_taxonomy_description":"Anesthesiology, Pain Medicine","slug":"anesthesiology-pain-medicine","schema_org_specialty":"Anesthesia","all":[{"code":"207LP2900X","description":"Anesthesiology, Pain Medicine","primary":true,"state":"IN","license":"01047150A"}]},"addresses":[{"purpose":"LOCATION","street_1":"13345 ILLINOIS ST","city":"CARMEL","state":"IN","postal_code":"460323318","country_code":"US","phone":"3173961300","fax":"3178702728"},{"purpose":"MAILING","street_1":"13345 ILLINOIS ST","city":"CARMEL","state":"IN","postal_code":"460323318","country_code":"US","phone":"3173961300","fax":"3178702728"}],"license":{"state":"IN","number":"01047150A"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"200313770B","state":"IN","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20041221000076","type_code":"14-05","type_desc":"PRACTITIONER - ANESTHESIOLOGY","state":"IN","pac_id":"6608834858"}]},"enumeration_date":"2005-12-07","last_updated":"2021-02-22","_meta":{"source":"NPPES","snapshot_date":"2021-02-22","doc_url":"https://findmynpi.com/api"}}