{"result_count":1,"results":[{"addresses":[{"address_1":"1619 N GREENWOOD ST STE 103","address_purpose":"MAILING","address_type":"DOM","city":"PUEBLO","country_code":"US","country_name":"United States","postal_code":"810032655","state":"CO","telephone_number":"719-542-2167"},{"address_1":"1619 N GREENWOOD ST STE 103","address_purpose":"LOCATION","address_type":"DOM","city":"PUEBLO","country_code":"US","country_name":"United States","postal_code":"810032655","state":"CO","telephone_number":"719-542-2167"}],"basic":{"certification_date":"2025-04-22","credential":"M.D.","enumeration_date":"2008-05-29","first_name":"MARK","last_name":"ABBOTT","last_updated":"2025-04-22","middle_name":"FREDRIC","name_prefix":"Dr.","sex":"M","sole_proprietor":"NO","status":"A"},"created_epoch":"1212118271000","endpoints":[],"enumeration_type":"NPI-1","identifiers":[{"code":"01","desc":"Other (non-Medicare)","identifier":"10000009999001","issuer":"BCBSU","state":"UT"},{"code":"01","desc":"Other (non-Medicare)","identifier":"107120161102","issuer":"SelectHealth","state":"UT"},{"code":"01","desc":"Other (non-Medicare)","identifier":"1137616","issuer":"DMBA","state":"UT"},{"code":"01","desc":"Other (non-Medicare)","identifier":"1295993871","issuer":"Molina Healthcare","state":"UT"},{"code":"01","desc":"Other (non-Medicare)","identifier":"1295993871","issuer":"EMI Health","state":"UT"},{"code":"05","desc":"MEDICAID","identifier":"1295993871","issuer":null,"state":"UT"},{"code":"01","desc":"Other (non-Medicare)","identifier":"145448","issuer":"PEHP","state":"UT"},{"code":"01","desc":"Other (non-Medicare)","identifier":"4697935","issuer":"Aetna Healthcare","state":"UT"},{"code":"01","desc":"Other (non-Medicare)","identifier":"P01180702","issuer":"Railroad Medicare","state":"UT"}],"last_updated_epoch":"1745374153000","number":"1295993871","other_names":[],"practiceLocations":[{"address_1":"1200 E 3900 S","address_2":"ATTN: RADIOLOGY DEPARTMENT","address_purpose":"LOCATION","address_type":"DOM","city":"SALT LAKE CITY","country_code":"US","country_name":"United States","fax_number":"801-296-6199","postal_code":"841241300","state":"UT","telephone_number":"801-298-1300"}],"taxonomies":[{"code":"2085R0202X","desc":"Radiology, Diagnostic Radiology","license":"149032","primary":false,"state":"NC","taxonomy_group":""},{"code":"2085R0202X","desc":"Radiology, Diagnostic Radiology","license":"8495680-1205","primary":false,"state":"UT","taxonomy_group":""},{"code":"2085R0204X","desc":"Radiology, Vascular & Interventional Radiology","license":"8495680-1205","primary":false,"state":"UT","taxonomy_group":""},{"code":"2085R0204X","desc":"Radiology, Vascular & Interventional Radiology","license":"DR.0056380","primary":true,"state":"CO","taxonomy_group":""}]}]}