{
  "npi": "1447293790",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "MD",
    "authorized_official_first_name": "SHADEN",
    "authorized_official_last_name": "MARZOUK",
    "authorized_official_name_prefix": "--",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "2399317254",
    "authorized_official_title_or_position": "US President",
    "certification_date": "2023-09-25",
    "enumeration_date": "2006-06-14",
    "last_updated": "2023-09-25",
    "organization_name": "ATLANTIC UROLOGY CLINICS LLC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "3600 SEA MOUNTAIN HWY STE B",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "LITTLE RIVER",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "843-399-9596",
      "postal_code": "295668161",
      "state": "SC",
      "telephone_number": "843-399-9696"
    },
    {
      "address_1": "1419 SE 8TH TER STE 200",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "CAPE CORAL",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "339903213",
      "state": "FL",
      "telephone_number": "239-931-7342"
    }
  ],
  "taxonomies": [
    {
      "code": "208800000X",
      "desc": "Urology",
      "license": null,
      "primary": true,
      "state": null,
      "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 Urologist (Urinary Tract, Kidney Stone & Prostate Surgeon)",
    "certifying_board": "American Board of Urology (ABU)",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "34",
        "medicare_type": "Physician/Urology"
      }
    ]
  }
}