{
  "npi": "1154724862",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "MD",
    "authorized_official_first_name": "DONALD",
    "authorized_official_last_name": "BLASCHKE",
    "authorized_official_middle_name": "GLEN",
    "authorized_official_name_prefix": "Dr.",
    "authorized_official_name_suffix": "II",
    "authorized_official_telephone_number": "6159799453",
    "authorized_official_title_or_position": "Manager",
    "certification_date": "2021-10-13",
    "enumeration_date": "2014-10-08",
    "last_updated": "2021-10-13",
    "organization_name": "AEGIS EMERGENCY PHYSICIANS GROUP PLLC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "1490 FM 2920 STE G 528",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "TOMBALL",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "817-563-3699",
      "postal_code": "77377",
      "state": "TX",
      "telephone_number": "817-451-4208"
    },
    {
      "address_1": "5400 MARYLAND WAY STE 100",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "BRENTWOOD",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "370275048",
      "state": "TN",
      "telephone_number": "615-979-9453"
    }
  ],
  "taxonomies": [
    {
      "code": "207P00000X",
      "desc": "Emergency Medicine",
      "license": "K2650",
      "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"
      }
    ]
  }
}