{"npi":"1982937058","type":"NPI-1","status":"active","name":{"display":"Dr. Gordon Mack MD","other":[],"first":"GORDON","last":"MACK","middle":"K","credential":"MD"},"specialty":{"primary_taxonomy":"2080P0202X","primary_taxonomy_description":"Pediatric Cardiology Physician","slug":"pediatric-cardiology-physician","schema_org_specialty":null,"all":[{"code":"2080P0202X","description":"Pediatric Cardiology Physician","primary":false,"state":"UT","license":"7320207-1205"},{"code":"2080P0202X","description":"Pediatric Cardiology Physician","primary":true,"state":"ID","license":"M-12151"}]},"addresses":[{"purpose":"LOCATION","street_1":"100 E IDAHO ST","city":"BOISE","state":"ID","postal_code":"837126267","country_code":"US","street_2":"SUITE 304","phone":"2083817384","fax":"2083817387"},{"purpose":"MAILING","street_1":"190 E BANNOCK ST","city":"BOISE","state":"ID","postal_code":"837126241","country_code":"US","phone":"2083812222"}],"license":{"state":"ID","number":"M-12151"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"1982937058","state":"ID","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20131119000649","type_code":"14-37","type_desc":"PRACTITIONER - PEDIATRIC MEDICINE","state":"ID","pac_id":"2264570456"}]},"enumeration_date":"2009-09-08","last_updated":"2014-02-05","_meta":{"source":"NPPES","snapshot_date":"2014-02-05","doc_url":"https://findmynpi.com/api"}}