{
  "npi": "1134484892",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "SARA",
    "authorized_official_last_name": "MARKS",
    "authorized_official_name_prefix": "Mrs.",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "6064084401",
    "authorized_official_title_or_position": "CEO/PRESIDENT",
    "certification_date": "2024-10-15",
    "enumeration_date": "2012-07-09",
    "last_updated": "2024-10-15",
    "organization_name": "KINGS DAUGHTERS MEDICAL SPECIALTIES INC.",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "613 23RD ST STE 210",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "ASHLAND",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "606-324-3418",
      "postal_code": "411012868",
      "state": "KY",
      "telephone_number": "606-326-9847"
    },
    {
      "address_1": "PO BOX 2379",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "ASHLAND",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "606-408-6612",
      "postal_code": "411052379",
      "state": "KY",
      "telephone_number": "606-408-6200"
    }
  ],
  "taxonomies": [
    {
      "code": "207RC0000X",
      "desc": "Internal Medicine, Cardiovascular Disease",
      "license": null,
      "primary": true,
      "state": null,
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "207RC0001X",
      "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "207RI0011X",
      "desc": "Internal Medicine, Interventional Cardiology",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "207RI0200X",
      "desc": "Internal Medicine, Infectious Disease",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "2085R0202X",
      "desc": "Radiology, Diagnostic Radiology",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "2085R0204X",
      "desc": "Radiology, Vascular & Interventional Radiology",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "2086S0129X",
      "desc": null,
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "208G00000X",
      "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "363A00000X",
      "desc": "Physician Assistant",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "363AM0700X",
      "desc": "Physician Assistant, Medical",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "363L00000X",
      "desc": "Nurse Practitioner",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "363LA2200X",
      "desc": "Nurse Practitioner, Adult Health",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "363LF0000X",
      "desc": "Nurse Practitioner, Family",
      "license": null,
      "primary": false,
      "state": null,
      "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 Cardiologist (Heart & Blood Vessel Specialist)",
    "certifying_board": "American Board of Internal Medicine — Cardiovascular Disease",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "06",
        "medicare_type": "Physician/Cardiovascular Disease (Cardiology)"
      },
      {
        "medicare_code": "11",
        "medicare_type": "Physician/Internal Medicine"
      }
    ]
  }
}