{
  "npi": "1073210993",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "DO",
    "authorized_official_first_name": "ELAINE",
    "authorized_official_last_name": "PHUAH",
    "authorized_official_name_prefix": "Dr.",
    "authorized_official_telephone_number": "8173863632",
    "authorized_official_title_or_position": "Physician/CEO",
    "certification_date": "2024-04-29",
    "enumeration_date": "2023-02-10",
    "last_updated": "2024-04-29",
    "organization_name": "CLOVER OXYGEN PLLC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "252 BAILEY RANCH ROAD",
      "address_2": "STE 100",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "ALEDO",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "76008",
      "state": "TX",
      "telephone_number": "817-386-3632"
    },
    {
      "address_1": "800 8TH AVE STE 506",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "FORT WORTH",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "866-245-0073",
      "postal_code": "761042604",
      "state": "TX",
      "telephone_number": "214-336-7643"
    }
  ],
  "taxonomies": [
    {
      "code": "207PE0005X",
      "desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
      "license": null,
      "primary": true,
      "state": null,
      "taxonomy_group": "193400000X - Multiple Single Specialty Group"
    }
  ],
  "compliance": {
    "oig_leie_exclusion": {
      "excluded": false,
      "status": "CLEAR",
      "matches": [],
      "totalDbRecords": 84224
    },
    "cms_pecos_eligibility": {
      "note": "Not listed in CMS Order & Referring PECOS file or institutional NPI-2"
    }
  },
  "medicare_utilization": null,
  "enrichment": {
    "plain_english_specialty": "Board-Certified Emergency Medicine Physician (ER / Trauma Doctor)",
    "certifying_board": "American Board of Emergency Medicine (ABEM)",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "93",
        "medicare_type": "Physician/Emergency Medicine"
      },
      {
        "medicare_code": "D4",
        "medicare_type": "Undersea and Hyperbaric Medicine"
      }
    ]
  }
}