{"npi":"1780933952","type":"NPI-1","status":"active","name":{"display":"Gregg Kosloff PA-C","other":[],"first":"GREGG","last":"KOSLOFF","middle":"V.","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":"OR","license":"PA159940"}]},"addresses":[{"purpose":"LOCATION","street_1":"3377 RIVERBEND DR","city":"SPRINGFIELD","state":"OR","postal_code":"974778803","country_code":"US","phone":"5412222700","fax":"5412226113"},{"purpose":"MAILING","street_1":"3355 RIVERBEND DR STE 300","city":"SPRINGFIELD","state":"OR","postal_code":"974778800","country_code":"US","phone":"5418689303","fax":"5418689306"}],"license":{"state":"OR","number":"PA159940"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"500651956","state":"OR","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20121231000280","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"OR","pac_id":"5698928547"}]},"enumeration_date":"2012-09-04","last_updated":"2023-04-28","_meta":{"source":"NPPES","snapshot_date":"2023-04-28","doc_url":"https://findmynpi.com/api"}}