{"npi":"1972561405","type":"NPI-1","status":"active","name":{"display":"Wayne Ambroze MD","other":[],"first":"WAYNE","last":"AMBROZE","middle":"L","credential":"MD"},"specialty":{"primary_taxonomy":"208C00000X","primary_taxonomy_description":"Colon & Rectal Surgery Physician","slug":"colon-rectal-surgery-physician","schema_org_specialty":null,"all":[{"code":"208C00000X","description":"Colon & Rectal Surgery Physician","primary":true,"state":"GA","license":"033019"}]},"addresses":[{"purpose":"LOCATION","street_1":"5445 MERIDIAN MARKS RD","city":"ATLANTA","state":"GA","postal_code":"303424763","country_code":"US","street_2":"SUITE 180","phone":"7702774277","fax":"4042525745"},{"purpose":"MAILING","street_1":"5445 MERIDIAN MARKS RD","city":"ATLANTA","state":"GA","postal_code":"303424763","country_code":"US","street_2":"SUITE 180","phone":"7702774277","fax":"4042525745"}],"license":{"state":"GA","number":"033019"},"identifiers":[{"type_code":"01","label":"Other","value":"52022684","state":null,"issuer":"BCBS"},{"type_code":"01","label":"Other","value":"1406030","state":null,"issuer":"UNITED HEALTHCAREE"},{"type_code":"01","label":"Other","value":"216188012","state":null,"issuer":"CIGNA HMO"},{"type_code":"01","label":"Other","value":"4120130","state":null,"issuer":"AETNA NON HMO"},{"type_code":"01","label":"Other","value":"1129","state":null,"issuer":"KAISER"},{"type_code":"01","label":"Other","value":"519446","state":null,"issuer":"AETNA HMO"},{"type_code":"05","label":"Medicaid","value":"00432011B","state":"GA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20100909000670","type_code":"14-28","type_desc":"PRACTITIONER - COLORECTAL SURGERY (PROCTOLOGY)","state":"GA","pac_id":"9234254517"}]},"enumeration_date":"2006-05-03","last_updated":"2020-10-19","_meta":{"source":"NPPES","snapshot_date":"2020-10-19","doc_url":"https://findmynpi.com/api"}}