{"npi":"1861491599","type":"NPI-1","status":"active","name":{"display":"Michael Smith M.D.","other":[],"first":"MICHAEL","last":"SMITH","middle":"J","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":"207P00000X","description":"Emergency Medicine","primary":false,"state":"IN","license":"01063120"},{"code":"207PE0004X","description":"Emergency Medical Services (Emergency Medicine) Physician","primary":true,"state":"IL","license":"036141508"}]},"addresses":[{"purpose":"LOCATION","street_1":"611 W PARK ST","city":"URBANA","state":"IL","postal_code":"618012529","country_code":"US","street_2":"EMERGENCY MED.","phone":"2173833313","fax":"2173834014"},{"purpose":"MAILING","street_1":"611 W PARK ST","city":"URBANA","state":"IL","postal_code":"618012529","country_code":"US","street_2":"BWPC","phone":"2173836941"}],"license":{"state":"IL","number":"036141508"},"identifiers":[{"type_code":"01","label":"Other","value":"000000517783","state":"IN","issuer":"ANTHEM"},{"type_code":"05","label":"Medicaid","value":"200858510","state":"IN","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20161230001626","type_code":"14-93","type_desc":"PRACTITIONER - EMERGENCY MEDICINE","state":"IL","pac_id":"8921992520"}]},"enumeration_date":"2005-07-15","last_updated":"2017-03-23","_meta":{"source":"NPPES","snapshot_date":"2017-03-23","doc_url":"https://findmynpi.com/api"}}