{"npi":"1891744843","type":"NPI-2","status":"active","name":{"display":"Paulding County Hospital Physician Services","other":[],"organization_name":"PAULDING COUNTY HOSPITAL PHYSICIAN SERVICES","authorised_official":"Jeanise Denning"},"specialty":{"primary_taxonomy":"207Q00000X","primary_taxonomy_description":"Family Medicine","slug":"family-medicine","schema_org_specialty":"PrimaryCare","all":[{"code":"207R00000X","description":"Internal Medicine","primary":false,"state":null,"license":null},{"code":"208600000X","description":"Surgery","primary":false,"state":null,"license":null},{"code":"207Q00000X","description":"Family Medicine","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"1032 W. WAYNE ST","city":"PAULDING","state":"OH","postal_code":"458791545","country_code":"US","phone":"4193991104","fax":"4193995560"},{"purpose":"MAILING","street_1":"1032 W WAYNE ST","city":"PAULDING","state":"OH","postal_code":"458791545","country_code":"US","phone":"4193991104","fax":"4193995560"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"2113126","state":"OH","issuer":null},{"type_code":"01","label":"Other","value":"9299274","state":null,"issuer":"PTAN"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20040218000635","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"OH","pac_id":"8820983893"}]},"enumeration_date":"2006-05-08","last_updated":"2023-08-24","_meta":{"source":"NPPES","snapshot_date":"2023-08-24","doc_url":"https://findmynpi.com/api"}}