{
  "npi": "1114755634",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "DPM",
    "authorized_official_first_name": "LOWELL",
    "authorized_official_last_name": "WEIL",
    "authorized_official_middle_name": "SCOTT",
    "authorized_official_telephone_number": "8473907666",
    "authorized_official_title_or_position": "Executive Chairman",
    "certification_date": "2024-08-09",
    "enumeration_date": "2024-07-25",
    "last_updated": "2024-08-09",
    "organization_name": "FOOT & ANKLE SPECIALISTS OF WEST MICHIGAN P L L C",
    "organizational_subpart": "YES",
    "parent_organization_legal_business_name": "FOOT & ANKLE SPECIALISTS OF WEST MICHIGAN P L L C",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "501 W WASHINGTON ST",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "NEWAYGO",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "493378036",
      "state": "MI",
      "telephone_number": "231-652-5955"
    },
    {
      "address_1": "2144 E PARIS AVE SE STE 100",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "GRAND RAPIDS",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "224-220-9345",
      "postal_code": "495466117",
      "state": "MI",
      "telephone_number": "616-281-0666"
    }
  ],
  "taxonomies": [
    {
      "code": "213E00000X",
      "desc": "Podiatrist",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "213ES0103X",
      "desc": "Podiatrist, Foot & Ankle Surgery",
      "license": null,
      "primary": true,
      "state": null,
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "332B00000X",
      "desc": "Durable Medical Equipment & Medical Supplies",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_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": "Licensed & Credentialed Podiatric Medicine & Surgery Service Providers — Podiatrist, Foot & Ankle Surgery",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "48",
        "medicare_type": "Podiatry"
      }
    ]
  }
}