{
  "npi": "1659198034",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "KARON",
    "authorized_official_last_name": "BAER",
    "authorized_official_middle_name": "L",
    "authorized_official_telephone_number": "2409641035",
    "authorized_official_title_or_position": "Practice Administrator",
    "certification_date": "2024-09-25",
    "enumeration_date": "2024-09-25",
    "last_updated": "2024-09-25",
    "organization_name": "ALLEGANY IMAGING, PC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "PO BOX 3206",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "LAVALE",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "215043206",
      "state": "MD",
      "telephone_number": "240-964-1035"
    },
    {
      "address_1": "100 PIN OAK LN",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "KEYSER",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "267265908",
      "state": "WV",
      "telephone_number": "240-964-1035"
    }
  ],
  "taxonomies": [
    {
      "code": "2085R0202X",
      "desc": "Radiology, Diagnostic Radiology",
      "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 Diagnostic Radiologist (MRI, CT, Ultrasound & X-Ray Specialist)",
    "certifying_board": "American Board of Radiology (ABR) / FRCR",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "30",
        "medicare_type": "Physician/Diagnostic Radiology"
      }
    ]
  }
}