{"npi":"1811090475","type":"NPI-2","status":"active","name":{"display":"Forsyth Plastic Surgical Assoc PA","other":[],"organization_name":"FORSYTH PLASTIC SURGICAL ASSOC PA","authorised_official":"John Fagg"},"specialty":{"primary_taxonomy":"208200000X","primary_taxonomy_description":"Plastic Surgery Physician","slug":"plastic-surgery-physician","schema_org_specialty":null,"all":[{"code":"208200000X","description":"Plastic Surgery Physician","primary":false,"state":"NC","license":"200001225739"},{"code":"208200000X","description":"Plastic Surgery Physician","primary":false,"state":"NC","license":"200001205450"},{"code":"208200000X","description":"Plastic Surgery Physician","primary":true,"state":"NC","license":"20000119979"}]},"addresses":[{"purpose":"LOCATION","street_1":"2901 MAPLEWOOD AVE","city":"WINSTON SALEM","state":"NC","postal_code":"27103","country_code":"US","phone":"3367658620","fax":"3367686236"},{"purpose":"MAILING","street_1":"2901 MAPLEWOOD AVE","city":"WINSTON SALEM","state":"NC","postal_code":"27103","country_code":"US","phone":"3367658620","fax":"3367686236"}],"license":{"state":"NC","number":"20000119979"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20110110000097","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"NC","pac_id":"9537358395"}]},"enumeration_date":"2006-09-07","last_updated":"2020-08-22","_meta":{"source":"NPPES","snapshot_date":"2020-08-22","doc_url":"https://findmynpi.com/api"}}