{
  "npi": "1396784252",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "CHRISTOPHER",
    "authorized_official_last_name": "HARTSHORN",
    "authorized_official_name_prefix": "--",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "3148002017",
    "authorized_official_title_or_position": "Officer, Authorized Official",
    "certification_date": "2024-09-05",
    "enumeration_date": "2006-06-06",
    "last_updated": "2024-09-05",
    "organization_name": "FRONTENAC AMBULATORY SURGERY & SPINE CARE CENTER LP",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "10435 CLAYTON RD",
      "address_2": "STE 110",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "FRONTENAC",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "314-995-8520",
      "postal_code": "631312930",
      "state": "MO",
      "telephone_number": "314-995-3990"
    },
    {
      "address_1": "10435 CLAYTON RD",
      "address_2": "STE 110",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "FRONTENAC",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "314-995-8520",
      "postal_code": "631312930",
      "state": "MO",
      "telephone_number": "314-995-3990"
    }
  ],
  "taxonomies": [
    {
      "code": "261QA1903X",
      "desc": "Clinic/Center, Ambulatory Surgical",
      "license": "208-0",
      "primary": true,
      "state": "MO",
      "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": {
    "total_beneficiaries": "220",
    "total_services": "1005",
    "total_medicare_allowed_amt": "486449.54",
    "top_hcpcs_services": [
      {
        "code": "62321",
        "description": "Injection of substance into middle or upper spine canal using imaging guidance",
        "services": "22",
        "beneficiaries": "20"
      },
      {
        "code": "62323",
        "description": "Injection of substance into lower spine canal using imaging guidance",
        "services": "79",
        "beneficiaries": "57"
      },
      {
        "code": "64479",
        "description": "Injection of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance, single level",
        "services": "27",
        "beneficiaries": "18"
      },
      {
        "code": "64483",
        "description": "Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level",
        "services": "64",
        "beneficiaries": "46"
      },
      {
        "code": "64490",
        "description": "Injection of upper or middle spine facet joint using imaging guidance, single level",
        "services": "81",
        "beneficiaries": "34"
      },
      {
        "code": "64493",
        "description": "Injection of lower or sacral spine facet joint using imaging guidance, single level",
        "services": "62",
        "beneficiaries": "31"
      },
      {
        "code": "64633",
        "description": "Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint",
        "services": "60",
        "beneficiaries": "30"
      },
      {
        "code": "64635",
        "description": "Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint",
        "services": "36",
        "beneficiaries": "22"
      }
    ]
  },
  "enrichment": {
    "plain_english_specialty": "Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center",
    "certifying_board": "Accreditation Association for Ambulatory Health Care (AAAHC) / CMS",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "49",
        "medicare_type": "Ambulatory Surgical Center"
      }
    ]
  }
}