{
  "npi": "1164668380",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "D.P.M.",
    "authorized_official_first_name": "SAMUEL",
    "authorized_official_last_name": "SCHUSTEK",
    "authorized_official_middle_name": "H.",
    "authorized_official_name_prefix": "--",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "4342954443",
    "authorized_official_title_or_position": "President",
    "enumeration_date": "2008-12-17",
    "last_updated": "2009-11-05",
    "organization_name": "ALBEMARLE CHARLOTTESVILLE PODIATRY ASSOC LTD",
    "organizational_subpart": "YES",
    "parent_organization_legal_business_name": "ALBEMARLE CHARLOTTESVILLE PODIATRY ASSOC LTD",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "2050 ABBEY RD",
      "address_2": "STE C",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "CHARLOTTESVILLE",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "434-295-8598",
      "postal_code": "229113553",
      "state": "VA",
      "telephone_number": "434-295-4443"
    },
    {
      "address_1": "175C SPICERS MILL RD",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "ORANGE",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "540-825-4937",
      "postal_code": "229601037",
      "state": "VA",
      "telephone_number": "540-672-1402"
    }
  ],
  "taxonomies": [
    {
      "code": "213E00000X",
      "desc": "Podiatrist",
      "license": null,
      "primary": true,
      "state": null,
      "taxonomy_group": "193400000X - 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": "Licensed & Credentialed Podiatric Medicine & Surgery Service Providers — Podiatrist",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "48",
        "medicare_type": "Podiatry"
      }
    ]
  }
}