{"npi":"1831170927","type":"NPI-1","status":"active","name":{"display":"Dr. Evert-Jan Verschuyl MD","other":[],"first":"EVERT-JAN","last":"VERSCHUYL","credential":"MD"},"specialty":{"primary_taxonomy":"2085R0204X","primary_taxonomy_description":"Vascular & Interventional Radiology Physician","slug":"vascular-interventional-radiology-physician","schema_org_specialty":null,"all":[{"code":"2085R0202X","description":"Diagnostic Radiology","primary":false,"state":"WA","license":"MD00030871"},{"code":"2085R0204X","description":"Vascular & Interventional Radiology Physician","primary":true,"state":"WA","license":"MD00030871"}]},"addresses":[{"purpose":"LOCATION","street_1":"3417 ENSIGN RD NE","city":"OLYMPIA","state":"WA","postal_code":"985065075","country_code":"US","phone":"3604934609","fax":"3604934603"},{"purpose":"MAILING","street_1":"19020 33RD AVE W STE 210","city":"LYNNWOOD","state":"WA","postal_code":"980364748","country_code":"US","phone":"4255631500","fax":"4255631374"}],"license":{"state":"WA","number":"MD00030871"},"identifiers":[{"type_code":"01","label":"Other","value":"0417786","state":"WA","issuer":"L&I-RADIA KING CTY"},{"type_code":"01","label":"Other","value":"0384715","state":"WA","issuer":"L&I-RADIA REST OF WA"},{"type_code":"05","label":"Medicaid","value":"1045847","state":"WA","issuer":null},{"type_code":"01","label":"Other","value":"0114512","state":"WA","issuer":"L&I-SOUTH SOUND RADIOLOGY"},{"type_code":"01","label":"Other","value":"0405724","state":"WA","issuer":"L&I-SEATTLE RADIOLOGY"},{"type_code":"01","label":"Other","value":"0417788","state":"WA","issuer":"L&I-SWEDISH RADIA EDMONDS"},{"type_code":"01","label":"Other","value":"0417790","state":"WA","issuer":"L&I-EVERGREEN RADIA"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20071003000440","type_code":"14-30","type_desc":"PRACTITIONER - DIAGNOSTIC RADIOLOGY","state":"WA","pac_id":"7012919194"}]},"enumeration_date":"2005-11-07","last_updated":"2020-10-08","_meta":{"source":"NPPES","snapshot_date":"2020-10-08","doc_url":"https://findmynpi.com/api"}}