{
  "npi": "1093743783",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "JEFF",
    "authorized_official_last_name": "LYLE",
    "authorized_official_name_prefix": "Mr.",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "2548033561",
    "authorized_official_title_or_position": "Administrator",
    "certification_date": "2020-07-06",
    "enumeration_date": "2006-06-29",
    "last_updated": "2020-07-06",
    "organization_name": "FALLS COMMUNITY HOSPITAL AND CLINIC",
    "organizational_subpart": "YES",
    "parent_organization_legal_business_name": "FALLS COMMUNITY HOSPITAL AND CLINIC",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "322 COLEMAN ST.",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "MARLIN",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "254-883-6066",
      "postal_code": "766600060",
      "state": "TX",
      "telephone_number": "254-803-3561"
    },
    {
      "address_1": "PO BOX 60",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "MARLIN",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "254-883-6066",
      "postal_code": "766610060",
      "state": "TX",
      "telephone_number": "254-803-3561"
    }
  ],
  "taxonomies": [
    {
      "code": "103T00000X",
      "desc": "Psychologist",
      "license": "24850",
      "primary": false,
      "state": "TX",
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "111N00000X",
      "desc": "Chiropractor",
      "license": "8240",
      "primary": false,
      "state": "TX",
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "207P00000X",
      "desc": "Emergency Medicine",
      "license": "J0919",
      "primary": false,
      "state": "TX",
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "207P00000X",
      "desc": "Emergency Medicine",
      "license": "E0892",
      "primary": false,
      "state": "TX",
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "207Y00000X",
      "desc": "Otolaryngology",
      "license": "J5638",
      "primary": false,
      "state": "TX",
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "208600000X",
      "desc": "Surgery",
      "license": "D3139",
      "primary": false,
      "state": "TX",
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "213E00000X",
      "desc": "Podiatrist",
      "license": "G1558",
      "primary": false,
      "state": "TX",
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "207P00000X",
      "desc": "Emergency Medicine",
      "license": "J1957",
      "primary": true,
      "state": "TX",
      "taxonomy_group": "193200000X - Multi-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"
      }
    ]
  }
}