{
  "npi": "1619992179",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "M.D.",
    "authorized_official_first_name": "SUSAN",
    "authorized_official_last_name": "SIPES",
    "authorized_official_middle_name": "L",
    "authorized_official_name_prefix": "Dr.",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "9204338265",
    "authorized_official_title_or_position": "President",
    "enumeration_date": "2006-07-13",
    "last_updated": "2020-08-22",
    "organization_name": "ACADEMIC MATERNAL-FETAL MEDICINE CONSULTANTS SC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "200 E WASHINGTON ST",
      "address_2": "P O BOX 8031",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "APPLETON",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "920-739-0124",
      "postal_code": "549115490",
      "state": "WI",
      "telephone_number": "800-236-1412"
    },
    {
      "address_1": "835 S VAN BUREN ST",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "GREEN BAY",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "543013526",
      "state": "WI",
      "telephone_number": "920-433-8265"
    }
  ],
  "taxonomies": [
    {
      "code": "207VM0101X",
      "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
      "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 Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor)",
    "certifying_board": "American Board of Obstetrics and Gynecology (ABOG)",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "16",
        "medicare_type": "Physician/Obstetrics & Gynecology"
      }
    ]
  }
}