{"npi":"1851379903","type":"NPI-1","status":"active","name":{"display":"Paul Stagg M.D.","other":[],"first":"PAUL","last":"STAGG","middle":"LYNWOOD","credential":"M.D."},"specialty":{"primary_taxonomy":"2085R0202X","primary_taxonomy_description":"Diagnostic Radiology","slug":"diagnostic-radiology","schema_org_specialty":"Radiography","all":[{"code":"2085R0202X","description":"Diagnostic Radiology","primary":true,"state":"PA","license":"MD-068636-L"}]},"addresses":[{"purpose":"LOCATION","street_1":"4518 UNION DEPOSIT RD","city":"HARRISBURG","state":"PA","postal_code":"171112921","country_code":"US","phone":"7176525840","fax":"7176528152"},{"purpose":"MAILING","street_1":"4520 UNION DEPOSIT RD","city":"HARRISBURG","state":"PA","postal_code":"171112910","country_code":"US","phone":"7176526105","fax":"7176522165"}],"license":{"state":"PA","number":"MD-068636-L"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"102262392","state":"PA","issuer":null},{"type_code":"01","label":"Other","value":"50084211","state":"PA","issuer":"CAPITAL BLUE CROSS"},{"type_code":"01","label":"Other","value":"2088561","state":"PA","issuer":"HIGHMARK BLUE SHIELD"},{"type_code":"01","label":"Other","value":"1578658","state":"PA","issuer":"GATEWAY HEALTH PLAN"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20090413000423","type_code":"14-30","type_desc":"PRACTITIONER - DIAGNOSTIC RADIOLOGY","state":"PA","pac_id":"9335103233"}]},"enumeration_date":"2006-01-08","last_updated":"2013-09-11","_meta":{"source":"NPPES","snapshot_date":"2013-09-11","doc_url":"https://findmynpi.com/api"}}