{"result_count":1,"results":[{"addresses":[{"address_1":"3245 HEALTH DR STE 100","address_purpose":"MAILING","address_type":"DOM","city":"GRANGER","country_code":"US","country_name":"United States","postal_code":"465301380","state":"IN","telephone_number":"574-647-3725"},{"address_1":"615 N MICHIGAN ST 4TH FL","address_purpose":"LOCATION","address_type":"DOM","city":"SOUTH BEND","country_code":"US","country_name":"United States","fax_number":"574-647-6895","postal_code":"466011033","state":"IN","telephone_number":"574-647-6892"}],"basic":{"certification_date":"2026-04-22","credential":"MD","enumeration_date":"2017-04-01","first_name":"ELAINE","last_name":"FAN","last_updated":"2026-04-22","middle_name":"M.","sex":"F","sole_proprietor":"NO","status":"A"},"created_epoch":"1491077214000","endpoints":[],"enumeration_type":"NPI-1","identifiers":[{"code":"05","desc":"MEDICAID","identifier":"300128923","issuer":null,"state":"IN"}],"last_updated_epoch":"1776874483000","number":"1598297178","other_names":[{"code":"1","first_name":"MENGCHEN","last_name":"FAN","type":"Former Name"}],"practiceLocations":[{"address_1":"100 N MARIO CAPECCHI DR","address_purpose":"LOCATION","address_type":"DOM","city":"SALT LAKE CITY","country_code":"US","country_name":"United States","postal_code":"841131103","state":"UT","telephone_number":"801-662-4700"}],"taxonomies":[{"code":"2080P0207X","desc":"Pediatrics, Pediatric Hematology-Oncology","license":"01099049A","primary":true,"state":"IN","taxonomy_group":""},{"code":"2080P0207X","desc":"Pediatrics, Pediatric Hematology-Oncology","license":"11731052-1205","primary":false,"state":"UT","taxonomy_group":""}]}]}