{
  "npi": "1700018538",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "D.O.",
    "authorized_official_first_name": "JOHN",
    "authorized_official_last_name": "PODZAMSKY",
    "authorized_official_middle_name": "E",
    "authorized_official_name_prefix": "--",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "3094322441",
    "authorized_official_title_or_position": "President",
    "enumeration_date": "2009-08-12",
    "last_updated": "2012-12-19",
    "organization_name": "PODZAMSKY MEDICAL SERVICES",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "120 E. 7TH ST.",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "MINONK",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "309-432-2160",
      "postal_code": "61760",
      "state": "IL",
      "telephone_number": "309-432-2515"
    },
    {
      "address_1": "301 S BLOOMINGTON ST",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "STREATOR",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "815-672-2178",
      "postal_code": "613642969",
      "state": "IL",
      "telephone_number": "815-673-2441"
    }
  ],
  "taxonomies": [
    {
      "code": "305R00000X",
      "desc": "Preferred Provider Organization",
      "license": "036055223",
      "primary": true,
      "state": "IL",
      "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": null,
  "enrichment": {
    "plain_english_specialty": "Licensed & Credentialed Preferred Provider Organization",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": []
  }
}