{
  "npi": "1841483344",
  "enumeration_type": "NPI-1",
  "basic": {
    "certification_date": "2020-10-07",
    "credential": "M. D.",
    "enumeration_date": "2007-08-20",
    "first_name": "CHARLES",
    "last_name": "EDSALL",
    "last_updated": "2022-11-23",
    "middle_name": "KENNETH",
    "name_suffix": "I",
    "sex": "M",
    "sole_proprietor": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "100 HEALTHY WAY STE 1200",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "ANDERSON",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "864-512-6149",
      "postal_code": "29621",
      "state": "SC",
      "telephone_number": "864-512-6140"
    },
    {
      "address_1": "PO BOX 100174",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "COLUMBIA",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "864-512-6149",
      "postal_code": "292023174",
      "state": "SC",
      "telephone_number": "864-512-6140"
    }
  ],
  "taxonomies": [
    {
      "code": "207Q00000X",
      "desc": "Family Medicine",
      "license": "29929",
      "primary": false,
      "state": "SC",
      "taxonomy_group": ""
    },
    {
      "code": "207XX0005X",
      "desc": "Orthopaedic Surgery, Sports Medicine",
      "license": "29929",
      "primary": true,
      "state": "SC",
      "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": "Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon)",
    "certifying_board": "American Board of Orthopaedic Surgery (ABOS)",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "02",
        "medicare_type": "Physician/General Surgery"
      },
      {
        "medicare_code": "20",
        "medicare_type": "Physician/Orthopedic Surgery"
      },
      {
        "medicare_code": "23",
        "medicare_type": "Physician/Sports Medicine"
      }
    ]
  }
}