{
  "npi": "1306089834",
  "enumeration_type": "NPI-1",
  "basic": {
    "certification_date": "2021-01-13",
    "credential": "M.D.",
    "enumeration_date": "2009-04-14",
    "first_name": "NICHOLAS",
    "last_name": "AGNESI",
    "last_updated": "2021-01-13",
    "middle_name": "FRANK",
    "name_prefix": "Dr.",
    "sex": "M",
    "sole_proprietor": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "813 KENTWOOD DR",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "BOARDMAN",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "330-953-2368",
      "postal_code": "445125004",
      "state": "OH",
      "telephone_number": "330-533-1570"
    },
    {
      "address_1": "813 KENTWOOD DR",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "BOARDMAN",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "445125004",
      "state": "OH",
      "telephone_number": "330-533-1570"
    }
  ],
  "taxonomies": [
    {
      "code": "208600000X",
      "desc": "Surgery",
      "license": "35. 055333",
      "primary": false,
      "state": "NY",
      "taxonomy_group": ""
    },
    {
      "code": "2086S0129X",
      "desc": null,
      "license": "35. 055333",
      "primary": true,
      "state": "OH",
      "taxonomy_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 Allopathic & Osteopathic Physicians — Surgery — Vascular Surgery",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "02",
        "medicare_type": "Physician/General Surgery"
      },
      {
        "medicare_code": "76",
        "medicare_type": "Physician/Peripheral Vascular Disease"
      },
      {
        "medicare_code": "77",
        "medicare_type": "Physician/Vascular Surgery"
      }
    ]
  }
}