{"npi":"1821973280","type":"NPI-2","status":"active","name":{"display":"Mad River Health PLLC","other":[],"organization_name":"MAD RIVER HEALTH PLLC","authorised_official":"John Wilson"},"specialty":{"primary_taxonomy":"207Q00000X","primary_taxonomy_description":"Family Medicine","slug":"family-medicine","schema_org_specialty":"PrimaryCare","all":[{"code":"207Q00000X","description":"Family Medicine","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"859 OLD COUNTY RD","city":"WAITSFIELD","state":"VT","postal_code":"056736221","country_code":"US","phone":"8024966565"},{"purpose":"MAILING","street_1":"859 OLD COUNTY RD","city":"WAITSFIELD","state":"VT","postal_code":"056736221","country_code":"US","phone":"8024966565"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20250926000758","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"VT","pac_id":"1850896101"}]},"enumeration_date":"2025-08-06","last_updated":"2025-08-06","_meta":{"source":"NPPES","snapshot_date":"2025-08-06","doc_url":"https://findmynpi.com/api"}}