{
  "npi": "1881182889",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "MD",
    "authorized_official_first_name": "CHARLES",
    "authorized_official_last_name": "MOK",
    "authorized_official_middle_name": "K",
    "authorized_official_telephone_number": "5867865900",
    "authorized_official_title_or_position": "Physician/Owner",
    "enumeration_date": "2018-04-25",
    "last_updated": "2018-09-04",
    "organization_name": "ALLURE MEDICAL OF WISCONSIN PLLC",
    "organizational_subpart": "YES",
    "parent_organization_legal_business_name": "VEIN CENTER AT ALLURE MEDICAL SPA, PLLC",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "1930 W BLUEMOUND RD STE 340",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "WAUKESHA",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "262-408-5258",
      "postal_code": "53186",
      "state": "WI",
      "telephone_number": "262-349-9371"
    },
    {
      "address_1": "8180 26 MILE RD STE 300",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "SHELBY TWP",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "586-992-9331",
      "postal_code": "483165139",
      "state": "MI",
      "telephone_number": "586-786-5900"
    }
  ],
  "taxonomies": [
    {
      "code": "261QM1300X",
      "desc": "Clinic/Center, Multi-Specialty",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": ""
    },
    {
      "code": "2086S0129X",
      "desc": null,
      "license": null,
      "primary": true,
      "state": null,
      "taxonomy_group": "193200000X - Multi-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": "Licensed & Credentialed Allopathic & Osteopathic Physicians — Surgery — Vascular Surgery",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "02",
        "medicare_type": "Physician/General Surgery"
      },
      {
        "medicare_code": "76",
        "medicare_type": "Physician/Peripheral Vascular Disease"
      },
      {
        "medicare_code": "77",
        "medicare_type": "Physician/Vascular Surgery"
      }
    ]
  }
}