{
  "npi": "1306041603",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "CRNA",
    "authorized_official_first_name": "ROBERT",
    "authorized_official_last_name": "KELLY",
    "authorized_official_name_prefix": "--",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "6038939784",
    "authorized_official_title_or_position": "Partner",
    "enumeration_date": "2007-06-18",
    "last_updated": "2020-08-22",
    "organization_name": "ANESTHETIC SOLUTIONS PC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "91 STILES RD",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "SALEM",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "603-893-8886",
      "postal_code": "030792846",
      "state": "NH",
      "telephone_number": "603-893-9784"
    },
    {
      "address_1": "138 HAVERHILL ST",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "ANDOVER",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "018101509",
      "state": "MA",
      "telephone_number": "978-296-2302"
    }
  ],
  "taxonomies": [
    {
      "code": "207L00000X",
      "desc": "Anesthesiology",
      "license": null,
      "primary": true,
      "state": "MA",
      "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"
      },
      {
        "medicare_code": "79",
        "medicare_type": "Physician/Addiction Medicine"
      }
    ]
  }
}