{"npi":"1790732204","type":"NPI-1","status":"active","name":{"display":"Troy Wagner","other":[],"first":"TROY","last":"WAGNER","middle":"D"},"specialty":{"primary_taxonomy":"363AS0400X","primary_taxonomy_description":"Surgical Physician Assistant","slug":"surgical-physician-assistant","schema_org_specialty":null,"all":[{"code":"363A00000X","description":"Physician Assistant","primary":false,"state":"MT","license":"442"},{"code":"363AS0400X","description":"Surgical Physician Assistant","primary":true,"state":"MT","license":"MED-PAC-LIC-442"}]},"addresses":[{"purpose":"LOCATION","street_1":"2900 12TH AVE N","city":"BILLINGS","state":"MT","postal_code":"591017506","country_code":"US","street_2":"SUITE 140W","phone":"4062386540","fax":"4062386599"},{"purpose":"MAILING","street_1":"PO BOX 35100","city":"BILLINGS","state":"MT","postal_code":"591075100","country_code":"US","phone":"4062382500"}],"license":{"state":"MT","number":"MED-PAC-LIC-442"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"4307970","state":"MT","issuer":null},{"type_code":"01","label":"Other","value":"000900323","state":"MT","issuer":"BCBS PIN"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20060310000483","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"MT","pac_id":"1456309442"}]},"enumeration_date":"2006-05-28","last_updated":"2021-12-14","_meta":{"source":"NPPES","snapshot_date":"2021-12-14","doc_url":"https://findmynpi.com/api"}}