{"npi":"1821094525","type":"NPI-2","status":"active","name":{"display":"Michiana Gastroenterology, INC","other":[],"organization_name":"MICHIANA GASTROENTEROLOGY, INC","authorised_official":"Melissa Walker"},"specialty":{"primary_taxonomy":"207RG0100X","primary_taxonomy_description":"Gastroenterology","slug":"gastroenterology","schema_org_specialty":"Gastroenterologic","all":[{"code":"207RG0100X","description":"Gastroenterology","primary":true,"state":"IN","license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"17501 GENERATIONS DR","city":"SOUTH BEND","state":"IN","postal_code":"466351589","country_code":"US","phone":"5742340049","fax":"5742512861"},{"purpose":"MAILING","street_1":"17501 GENERATIONS DR","city":"SOUTH BEND","state":"IN","postal_code":"466351589","country_code":"US","phone":"5742340049","fax":"5742512861"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"100222490A","state":"IN","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20070515000183","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"IN","pac_id":"2163529892"}]},"enumeration_date":"2005-06-27","last_updated":"2022-07-21","_meta":{"source":"NPPES","snapshot_date":"2022-07-21","doc_url":"https://findmynpi.com/api"}}