{"npi":"1881618239","type":"NPI-1","status":"active","name":{"display":"Mark Malnor MD","other":[],"first":"MARK","last":"MALNOR","middle":"DAVID","credential":"MD"},"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":"MI","license":"4301048475"}]},"addresses":[{"purpose":"LOCATION","street_1":"200 JEFFESON SE","city":"GRAND RAPIDS","state":"MI","postal_code":"49503","country_code":"US","phone":"6163646700","fax":"6163644960"},{"purpose":"MAILING","street_1":"PO BOX 5329","city":"SAGINAW","state":"MI","postal_code":"486030329","country_code":"US","phone":"6163646700","fax":"9894014245"}],"license":{"state":"MI","number":"4301048475"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"1662851100","state":"MI","issuer":null},{"type_code":"01","label":"Other","value":"300044873","state":"MI","issuer":"RR MEDICAID"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-07-27","last_updated":"2019-09-10","_meta":{"source":"NPPES","snapshot_date":"2019-09-10","doc_url":"https://findmynpi.com/api"}}