{
  "npi": "1467470930",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "ANNETTE",
    "authorized_official_last_name": "MARTYN",
    "authorized_official_middle_name": "MARIE",
    "authorized_official_name_prefix": "Ms.",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "8478889000",
    "authorized_official_title_or_position": "Administrator",
    "certification_date": "2025-09-26",
    "enumeration_date": "2006-07-17",
    "last_updated": "2025-09-26",
    "organization_name": "33RD STREET SURGERY CENTER LLC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "3333 N CALVERT ST STE 630",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "BALTIMORE",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "410-554-2839",
      "postal_code": "212182867",
      "state": "MD",
      "telephone_number": "410-554-4455"
    },
    {
      "address_1": "3333 N CALVERT ST STE 360",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "BALTIMORE",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "410-554-2839",
      "postal_code": "212182867",
      "state": "MD",
      "telephone_number": "410-554-4455"
    }
  ],
  "taxonomies": [
    {
      "code": "207Y00000X",
      "desc": "Otolaryngology",
      "license": "D0057335",
      "primary": false,
      "state": "MD",
      "taxonomy_group": "193400000X - Multiple Single Specialty Group"
    },
    {
      "code": "207Y00000X",
      "desc": "Otolaryngology",
      "license": "D35559",
      "primary": true,
      "state": "MD",
      "taxonomy_group": "193400000X - Multiple 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": {
    "total_beneficiaries": "20",
    "total_services": "48",
    "total_medicare_allowed_amt": "35546.16",
    "top_hcpcs_services": []
  },
  "enrichment": {
    "plain_english_specialty": "Licensed & Credentialed Allopathic & Osteopathic Physicians —  Otolaryngology",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "04",
        "medicare_type": "Physician/Otolaryngology"
      }
    ]
  }
}