{"npi":"1922053164","type":"NPI-1","status":"active","name":{"display":"Gregory Stafford PA-C","other":[],"first":"GREGORY","last":"STAFFORD","middle":"LEE","credential":"PA-C"},"specialty":{"primary_taxonomy":"363A00000X","primary_taxonomy_description":"Physician Assistant","slug":"physician-assistant","schema_org_specialty":null,"all":[{"code":"363A00000X","description":"Physician Assistant","primary":false,"state":"MO","license":"2002012315"},{"code":"363A00000X","description":"Physician Assistant","primary":true,"state":"OK","license":"4960"}]},"addresses":[{"purpose":"LOCATION","street_1":"6161 S YALE AVE","city":"TULSA","state":"OK","postal_code":"741361902","country_code":"US","phone":"9185021900","fax":"9184946303"},{"purpose":"MAILING","street_1":"6600 S YALE AVE STE 1400","city":"TULSA","state":"OK","postal_code":"741363331","country_code":"US","phone":"8882470125","fax":"9185028210"}],"license":{"state":"OK","number":"4960"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"201146590A","state":"OK","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20230428000359","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"OK","pac_id":"5395787345"},{"enrlmt_id":"I20231107002058","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"TX","pac_id":"5395787345"}]},"enumeration_date":"2006-05-24","last_updated":"2023-05-19","_meta":{"source":"NPPES","snapshot_date":"2023-05-19","doc_url":"https://findmynpi.com/api"}}