{"npi":"1831159615","type":"NPI-1","status":"active","name":{"display":"Jack Shamblin MD","other":[],"first":"JACK","last":"SHAMBLIN","middle":"F","credential":"MD"},"specialty":{"primary_taxonomy":"207LP2900X","primary_taxonomy_description":"Anesthesiology, Pain Medicine","slug":"anesthesiology-pain-medicine","schema_org_specialty":"Anesthesia","all":[{"code":"207LP2900X","description":"Anesthesiology, Pain Medicine","primary":true,"state":"WV","license":"17829"}]},"addresses":[{"purpose":"LOCATION","street_1":"94 OLD MILL RD","city":"MARTINSBURG","state":"WV","postal_code":"254019284","country_code":"US","phone":"3042648933","fax":"3042648846"},{"purpose":"MAILING","street_1":"94 OLD MILL RD","city":"MARTINSBURG","state":"WV","postal_code":"254019284","country_code":"US","phone":"3042648933","fax":"3042648846"}],"license":{"state":"WV","number":"17829"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"0060852000","state":"WV","issuer":null},{"type_code":"01","label":"Other","value":"050065778","state":"WV","issuer":"RAILROAD MEDICARE"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20080416000367","type_code":"14-05","type_desc":"PRACTITIONER - ANESTHESIOLOGY","state":"WV","pac_id":"3173420304"}]},"enumeration_date":"2006-03-24","last_updated":"2012-05-24","_meta":{"source":"NPPES","snapshot_date":"2012-05-24","doc_url":"https://findmynpi.com/api"}}