{"npi":"1922040245","type":"NPI-1","status":"active","name":{"display":"Theodore Suh MD","other":[],"first":"THEODORE","last":"SUH","middle":"T","credential":"MD"},"specialty":{"primary_taxonomy":"207RG0300X","primary_taxonomy_description":"Geriatric Medicine (Internal Medicine) Physician","slug":"geriatric-medicine-internal-medicine-physician","schema_org_specialty":null,"all":[{"code":"207R00000X","description":"Internal Medicine","primary":false,"state":"OH","license":"35079592"},{"code":"207RG0300X","description":"Geriatric Medicine (Internal Medicine) Physician","primary":false,"state":"TX","license":"43211"},{"code":"207RG0300X","description":"Geriatric Medicine (Internal Medicine) Physician","primary":true,"state":"MI","license":"4301104150"},{"code":"207R00000X","description":"Internal Medicine","primary":false,"state":"MI","license":"4301104150"}]},"addresses":[{"purpose":"LOCATION","street_1":"4260 PLYMOUTH RD","city":"ANN ARBOR","state":"MI","postal_code":"481092700","country_code":"US","phone":"7347646831","fax":"7346478535"},{"purpose":"MAILING","street_1":"3621 SOUTH STATE STREET","city":"ANN ARBOR","state":"MI","postal_code":"48108","country_code":"US","street_2":"700 KMS PLACE","phone":"7349362047"}],"license":{"state":"MI","number":"4301104150"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"2467674","state":"OH","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20140117000667","type_code":"14-38","type_desc":"PRACTITIONER - GERIATRIC MEDICINE","state":"MI","pac_id":"2860476488"}]},"enumeration_date":"2006-06-12","last_updated":"2014-01-31","_meta":{"source":"NPPES","snapshot_date":"2014-01-31","doc_url":"https://findmynpi.com/api"}}