{"npi":"1851374110","type":"NPI-1","status":"active","name":{"display":"Paul Ketro MD","other":[],"first":"PAUL","last":"KETRO","credential":"MD"},"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":"MA","license":"77202"}]},"addresses":[{"purpose":"LOCATION","street_1":"425 REVERE ST","city":"REVERE","state":"MA","postal_code":"021514543","country_code":"US","street_2":"ELL POND MEDICAL ASSOCIATES INC","phone":"7812861313","fax":"7812861098"},{"purpose":"MAILING","street_1":"425 REVERE ST","city":"REVERE","state":"MA","postal_code":"021514543","country_code":"US","street_2":"ELL POND MEDICAL ASSOCIATES INC ATTN JUNE VINARD","phone":"7812861313","fax":"7812861098"}],"license":{"state":"MA","number":"77202"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"3112004","state":"MA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20050609000136","type_code":"14-08","type_desc":"PRACTITIONER - FAMILY PRACTICE","state":"MA","pac_id":"3971546029"}]},"enumeration_date":"2005-11-21","last_updated":"2007-07-08","_meta":{"source":"NPPES","snapshot_date":"2007-07-08","doc_url":"https://findmynpi.com/api"}}