{"npi":"1841679669","type":"NPI-1","status":"active","name":{"display":"Dr. Robert Hagenberg M.D.","other":[],"first":"ROBERT","last":"HAGENBERG","middle":"JOHN","credential":"M.D."},"specialty":{"primary_taxonomy":"207PE0004X","primary_taxonomy_description":"Emergency Medical Services (Emergency Medicine) Physician","slug":"emergency-medical-services-emergency-medicine-physician","schema_org_specialty":null,"all":[{"code":"207PE0004X","description":"Emergency Medical Services (Emergency Medicine) Physician","primary":true,"state":"AZ","license":"R75074"}]},"addresses":[{"purpose":"LOCATION","street_1":"3080 E GENTRY WAY STE 210","city":"MERIDIAN","state":"ID","postal_code":"83642","country_code":"US","phone":"2088102309"},{"purpose":"MAILING","street_1":"1501 N CAMPBELL AVE","city":"TUCSON","state":"AZ","postal_code":"857240001","country_code":"US","phone":"5206267233"}],"license":{"state":"AZ","number":"R75074"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20180718003415","type_code":"14-93","type_desc":"PRACTITIONER - EMERGENCY MEDICINE","state":"ID","pac_id":"4183937741"}]},"enumeration_date":"2015-05-26","last_updated":"2018-06-27","_meta":{"source":"NPPES","snapshot_date":"2018-06-27","doc_url":"https://findmynpi.com/api"}}