{"npi":"1922827872","type":"NPI-2","status":"active","name":{"display":"Evocare Wound Solutions PA","other":[],"organization_name":"EVOCARE WOUND SOLUTIONS PA","authorised_official":"Dominic Gaziano"},"specialty":{"primary_taxonomy":"207QG0300X","primary_taxonomy_description":"Family Medicine, Geriatric Medicine","slug":"family-medicine-geriatric","schema_org_specialty":"Geriatric","all":[{"code":"207QG0300X","description":"Family Medicine, Geriatric Medicine","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"400 N MAY ST STE 101","city":"CHICAGO","state":"IL","postal_code":"606426495","country_code":"US","phone":"8007660666","fax":"8002970666"},{"purpose":"MAILING","street_1":"400 N MAY ST STE 101","city":"CHICAGO","state":"IL","postal_code":"606426495","country_code":"US","phone":"8007660666","fax":"8002970666"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20241223001756","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"FL","pac_id":"5597292011"},{"enrlmt_id":"O20250123001782","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"IL","pac_id":"5597292011"},{"enrlmt_id":"O20250521003010","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"IN","pac_id":"5597292011"}]},"enumeration_date":"2024-10-08","last_updated":"2024-11-12","_meta":{"source":"NPPES","snapshot_date":"2024-11-12","doc_url":"https://findmynpi.com/api"}}