{"npi":"1801881255","type":"NPI-1","status":"active","name":{"display":"Howard Wiarda MD","other":[],"first":"HOWARD","last":"WIARDA","middle":"ELVINDO","credential":"MD"},"specialty":{"primary_taxonomy":"2085R0204X","primary_taxonomy_description":"Vascular & Interventional Radiology Physician","slug":"vascular-interventional-radiology-physician","schema_org_specialty":null,"all":[{"code":"2085B0100X","description":"Body Imaging Physician","primary":false,"state":"IN","license":"01052406"},{"code":"2085R0204X","description":"Vascular & Interventional Radiology Physician","primary":true,"state":"IN","license":"01052406"},{"code":"2085U0001X","description":"Diagnostic Ultrasound Physician","primary":false,"state":"IN","license":"01052406"},{"code":"2085R0203X","description":"Therapeutic Radiology Physician","primary":false,"state":"IN","license":"01052406"}]},"addresses":[{"purpose":"LOCATION","street_1":"100 NAVARRE PL STE 5500","city":"SOUTH BEND","state":"IN","postal_code":"466011172","country_code":"US","phone":"5746475200","fax":"5746475210"},{"purpose":"MAILING","street_1":"3245 HEALTH DR STE 100","city":"GRANGER","state":"IN","postal_code":"465301380","country_code":"US","phone":"5746471610"}],"license":{"state":"IN","number":"01052406"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"200261430","state":"IN","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20040209001222","type_code":"14-94","type_desc":"PRACTITIONER - INTERVENTIONAL RADIOLOGY","state":"IN","pac_id":"0042104317"}]},"enumeration_date":"2005-09-13","last_updated":"2026-02-12","_meta":{"source":"NPPES","snapshot_date":"2026-02-12","doc_url":"https://findmynpi.com/api"}}