{"npi":"1912901455","type":"NPI-1","status":"active","name":{"display":"Dr. Robert Karch MD","other":[],"first":"ROBERT","last":"KARCH","middle":"D.","credential":"MD"},"specialty":{"primary_taxonomy":"208M00000X","primary_taxonomy_description":"Hospitalist","slug":"hospitalist","schema_org_specialty":"Internal","all":[{"code":"208000000X","description":"Pediatrics","primary":false,"state":"AZ","license":"33103"},{"code":"208000000X","description":"Pediatrics","primary":false,"state":"PA","license":"MD429183"},{"code":"208M00000X","description":"Hospitalist","primary":true,"state":"FL","license":"ME92476"}]},"addresses":[{"purpose":"LOCATION","street_1":"1350 S HICKORY STREET","city":"MELBOURNE","state":"FL","postal_code":"32901","country_code":"US","street_2":"HOLMES REGIONAL MEDICAL CENTER","phone":"3214347208","fax":"3214345344"},{"purpose":"MAILING","street_1":"P.O. BOX 5720","city":"JACKSONVILLE","state":"FL","postal_code":"322475720","country_code":"US","street_2":"PROVIDER ENROLLMENT DEPARTMENT","phone":"3026514488","fax":"4076507578"}],"license":{"state":"FL","number":"ME92476"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"868820","state":"AZ","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20110812000692","type_code":"14-37","type_desc":"PRACTITIONER - PEDIATRIC MEDICINE","state":"FL","pac_id":"8628041050"},{"enrlmt_id":"I20201203000997","type_code":"14-37","type_desc":"PRACTITIONER - PEDIATRIC MEDICINE","state":"NJ","pac_id":"8628041050"}]},"enumeration_date":"2005-06-13","last_updated":"2011-08-03","_meta":{"source":"NPPES","snapshot_date":"2011-08-03","doc_url":"https://findmynpi.com/api"}}