{"npi":"1780697334","type":"NPI-1","status":"active","name":{"display":"Dr. Susannah Clark M.D.","other":[{"code":"1","type":"Formerly known as","value":"TAYLOR, SUSANNAH CORD"}],"first":"SUSANNAH","last":"CLARK","middle":"TAYLOR","credential":"M.D."},"specialty":{"primary_taxonomy":"207R00000X","primary_taxonomy_description":"Internal Medicine","slug":"internal-medicine","schema_org_specialty":"Internal","all":[{"code":"207R00000X","description":"Internal Medicine","primary":true,"state":"NH","license":"12781"}]},"addresses":[{"purpose":"LOCATION","street_1":"1 MEDICAL CENTER DR","city":"LEBANON","state":"NH","postal_code":"037561000","country_code":"US","street_2":"DHMC DEPARTMENT OF GENERAL INTERNAL MEDICINE","phone":"6036505000"},{"purpose":"MAILING","street_1":"1 MEDICAL CENTER DR","city":"LEBANON","state":"NH","postal_code":"037561000","country_code":"US","street_2":"DHMC - DEPARTMENT OF GENERAL INTERNAL MEDICINE","phone":"6036505000"}],"license":{"state":"NH","number":"12781"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"30205694","state":"NH","issuer":null},{"type_code":"05","label":"Medicaid","value":"1011886","state":"VT","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20051006000242","type_code":"14-11","type_desc":"PRACTITIONER - INTERNAL MEDICINE","state":"NH","pac_id":"6002884319"}]},"enumeration_date":"2006-08-14","last_updated":"2014-11-04","_meta":{"source":"NPPES","snapshot_date":"2014-11-04","doc_url":"https://findmynpi.com/api"}}