{
  "npi": "1871165506",
  "enumeration_type": "NPI-1",
  "basic": {
    "certification_date": "2024-08-15",
    "enumeration_date": "2021-07-13",
    "first_name": "CEDRICK",
    "last_name": "ADE",
    "last_updated": "2024-08-15",
    "middle_name": "DUCARMEL",
    "sex": "M",
    "sole_proprietor": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "800 PRUDENTIAL DR",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "JACKSONVILLE",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "322078202",
      "state": "FL",
      "telephone_number": "904-202-2000"
    },
    {
      "address_1": "55 LINDENWOOD PL",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "ST JOHNS",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "322597097",
      "state": "FL",
      "telephone_number": "954-383-3702"
    }
  ],
  "taxonomies": [
    {
      "code": "367H00000X",
      "desc": "Anesthesiologist Assistant",
      "license": "AA674",
      "primary": true,
      "state": "FL",
      "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": {
    "total_beneficiaries": "236",
    "total_services": "242",
    "total_medicare_allowed_amt": "27087.56",
    "top_hcpcs_services": [
      {
        "code": "00731",
        "description": "Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope",
        "services": "20",
        "beneficiaries": "20"
      },
      {
        "code": "00732",
        "description": "Anesthesia for procedure on gallbladder, pancreas, or liver using an endoscope",
        "services": "12",
        "beneficiaries": "11"
      },
      {
        "code": "00790",
        "description": "Anesthesia for other procedure on upper abdomen",
        "services": "12",
        "beneficiaries": "12"
      },
      {
        "code": "00811",
        "description": "Anesthesia for other procedure on large bowel using an endoscope",
        "services": "15",
        "beneficiaries": "15"
      },
      {
        "code": "00812",
        "description": "Anesthesia for exam of colon using an endoscope",
        "services": "12",
        "beneficiaries": "12"
      }
    ]
  },
  "enrichment": {
    "plain_english_specialty": "Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Anesthesiologist Assistant",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "32",
        "medicare_type": "Anesthesiology Assistant"
      }
    ]
  }
}