{"npi":"1912930793","type":"NPI-2","status":"active","name":{"display":"Foot Health Centers PC","other":[],"organization_name":"FOOT HEALTH CENTERS PC","authorised_official":"Gina Reagan"},"specialty":{"primary_taxonomy":"213ES0103X","primary_taxonomy_description":"Foot & Ankle Surgery Podiatrist","slug":"foot-ankle-surgery-podiatrist","schema_org_specialty":null,"all":[{"code":"213ES0103X","description":"Foot & Ankle Surgery Podiatrist","primary":true,"state":"IL","license":"060-004872"}]},"addresses":[{"purpose":"LOCATION","street_1":"122 E ZUPAN ST","city":"MARYVILLE","state":"IL","postal_code":"620622010","country_code":"US","phone":"6183444449","fax":"6183444551"},{"purpose":"MAILING","street_1":"122 E ZUPAN ST","city":"MARYVILLE","state":"IL","postal_code":"620622010","country_code":"US","phone":"6183444449","fax":"6183444551"}],"license":{"state":"IL","number":"060-004872"},"identifiers":[{"type_code":"01","label":"Other","value":"060101285","state":"IL","issuer":"BC/BS GROUP#"},{"type_code":"01","label":"Other","value":"CB0674","state":"IL","issuer":"RAILROAD MEDICARE GROUP#"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20040513000798","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"IL","pac_id":"2769472661"},{"enrlmt_id":"O20041218000006","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"MO","pac_id":"2769472661"},{"enrlmt_id":"O20100930083814","type_code":"30-48","type_desc":"DME SUPPLIER - PHYSICIAN - PODIATRY","state":"IL","pac_id":"2769472661"}]},"enumeration_date":"2006-07-08","last_updated":"2024-05-23","_meta":{"source":"NPPES","snapshot_date":"2024-05-23","doc_url":"https://findmynpi.com/api"}}