{
  "npi": "1366762718",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "m.d.",
    "authorized_official_first_name": "GEORGE",
    "authorized_official_last_name": "SIDERYS",
    "authorized_official_middle_name": "STEVEN",
    "authorized_official_name_prefix": "Dr.",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "3172533006",
    "authorized_official_title_or_position": "president",
    "enumeration_date": "2010-06-08",
    "last_updated": "2010-06-08",
    "organization_name": "ADVANCED ORTHOPAEDIC FOOT AND ANKLE CLINIC OF INDIANA INC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "1438 AGGIE LN",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "INDIANAPOLIS",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "317-253-3006",
      "postal_code": "462604098",
      "state": "IN",
      "telephone_number": "317-253-3006"
    },
    {
      "address_1": "1438 AGGIE LN",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "INDIANAPOLIS",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "317-253-3006",
      "postal_code": "462604098",
      "state": "IN",
      "telephone_number": "317-253-3006"
    }
  ],
  "taxonomies": [
    {
      "code": "207XX0004X",
      "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
      "license": "01034522",
      "primary": true,
      "state": "IN",
      "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 Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon)",
    "certifying_board": "American Board of Orthopaedic Surgery (ABOS)",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "02",
        "medicare_type": "Physician/General Surgery"
      },
      {
        "medicare_code": "20",
        "medicare_type": "Physician/Orthopedic Surgery"
      }
    ]
  }
}