{
  "npi": "1255778577",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "MD",
    "authorized_official_first_name": "PAVAN",
    "authorized_official_last_name": "TELANG",
    "authorized_official_name_prefix": "--",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "2567122422",
    "authorized_official_title_or_position": "Owner / Physician",
    "certification_date": "2023-12-29",
    "enumeration_date": "2013-05-28",
    "last_updated": "2023-12-29",
    "organization_name": "ALABAMA SPINE AND PAIN",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "3907 PEACH ST",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "FLORENCE",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "356302803",
      "state": "AL",
      "telephone_number": "256-712-2422"
    },
    {
      "address_1": "PO BOX 998",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "KILLEN",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "356450998",
      "state": "AL",
      "telephone_number": "256-712-2422"
    }
  ],
  "taxonomies": [
    {
      "code": "207LP2900X",
      "desc": "Anesthesiology, Pain Medicine",
      "license": "MD.32531",
      "primary": true,
      "state": "AL",
      "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": "Board-Certified Anesthesiologist & Interventional Pain Specialist",
    "certifying_board": "American Board of Anesthesiology (ABA)",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "05",
        "medicare_type": "Physician/Anesthesiology"
      }
    ]
  }
}