{
  "npi": "1194282707",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "MD",
    "authorized_official_first_name": "JAMES",
    "authorized_official_last_name": "HUBLER",
    "authorized_official_middle_name": "R",
    "authorized_official_telephone_number": "8174514208",
    "authorized_official_title_or_position": "Owner",
    "enumeration_date": "2019-03-01",
    "last_updated": "2019-05-16",
    "organization_name": "EPSS NORTH REGION LLC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "600 E 1ST ST",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "SPRING VALLEY",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "817-563-3699",
      "postal_code": "613621512",
      "state": "IL",
      "telephone_number": "817-451-4208"
    },
    {
      "address_1": "6300 RIDGLEA PL STE 201",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "FORT WORTH",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "817-563-3699",
      "postal_code": "761165707",
      "state": "TX",
      "telephone_number": "817-451-4208"
    }
  ],
  "taxonomies": [
    {
      "code": "207P00000X",
      "desc": "Emergency Medicine",
      "license": null,
      "primary": true,
      "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 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"
      }
    ]
  }
}