{"npi":"1962496307","type":"NPI-1","status":"active","name":{"display":"Tobore Kokoricha MD","other":[],"first":"TOBORE","last":"KOKORICHA","middle":"GODWIN","credential":"MD"},"specialty":{"primary_taxonomy":"207R00000X","primary_taxonomy_description":"Internal Medicine","slug":"internal-medicine","schema_org_specialty":"Internal","all":[{"code":"207R00000X","description":"Internal Medicine","primary":false,"state":"PA","license":"MT1768748"},{"code":"207R00000X","description":"Internal Medicine","primary":false,"state":"NM","license":"MD20040599"},{"code":"208M00000X","description":"Hospitalist","primary":false,"state":"TX","license":"R1567"},{"code":"207R00000X","description":"Internal Medicine","primary":true,"state":"TX","license":"R1567"}]},"addresses":[{"purpose":"LOCATION","street_1":"2001 W 21ST ST","city":"CLOVIS","state":"NM","postal_code":"881014086","country_code":"US","phone":"5759351625","fax":"5759351626"},{"purpose":"MAILING","street_1":"2001 W 21ST ST","city":"CLOVIS","state":"NM","postal_code":"881014086","country_code":"US","phone":"5759351625","fax":"5759351626"}],"license":{"state":"TX","number":"R1567"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"72821761","state":"NM","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20171201000785","type_code":"14-11","type_desc":"PRACTITIONER - INTERNAL MEDICINE","state":"TX","pac_id":"4284696865"},{"enrlmt_id":"I20221103000174","type_code":"14-11","type_desc":"PRACTITIONER - INTERNAL MEDICINE","state":"LA","pac_id":"4284696865"}]},"enumeration_date":"2005-08-31","last_updated":"2024-11-12","_meta":{"source":"NPPES","snapshot_date":"2024-11-12","doc_url":"https://findmynpi.com/api"}}