{"npi":"1851551972","type":"NPI-1","status":"active","name":{"display":"Mr. Robert Ballough P.A.","other":[],"first":"ROBERT","last":"BALLOUGH","credential":"P.A."},"specialty":{"primary_taxonomy":"363AM0700X","primary_taxonomy_description":"Medical Physician Assistant","slug":"medical-physician-assistant","schema_org_specialty":null,"all":[{"code":"363AM0700X","description":"Medical Physician Assistant","primary":true,"state":"CT","license":"002079"}]},"addresses":[{"purpose":"LOCATION","street_1":"94 CONNECTICUT BLVD","city":"EAST HARTFORD","state":"CT","postal_code":"061083013","country_code":"US","phone":"8605281359"},{"purpose":"MAILING","street_1":"4 FARM CT","city":"WALLINGFORD","state":"CT","postal_code":"064923251","country_code":"US","phone":"2033761863"}],"license":{"state":"CT","number":"002079"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20131129000004","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"CT","pac_id":"3476789181"}]},"enumeration_date":"2008-06-12","last_updated":"2024-04-30","_meta":{"source":"NPPES","snapshot_date":"2024-04-30","doc_url":"https://findmynpi.com/api"}}