{
  "npi": "1891865366",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "CAROL",
    "authorized_official_last_name": "KLINE",
    "authorized_official_middle_name": "E",
    "authorized_official_name_prefix": "--",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "3308299389",
    "authorized_official_title_or_position": "Contract Credentialing",
    "enumeration_date": "2006-11-09",
    "last_updated": "2020-08-22",
    "organization_name": "ALLIANCE NEUROLOGICAL CENTER INC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "270 E STATE ST",
      "address_2": "SUITE 140",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "ALLIANCE",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "330-829-9372",
      "postal_code": "446014957",
      "state": "OH",
      "telephone_number": "330-823-4044"
    },
    {
      "address_1": "1914 S UNION AVE",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "ALLIANCE",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "330-829-9372",
      "postal_code": "446014355",
      "state": "OH",
      "telephone_number": "330-829-9389"
    }
  ],
  "taxonomies": [
    {
      "code": "2084N0400X",
      "desc": "Psychiatry & Neurology, Neurology",
      "license": "35047526S",
      "primary": true,
      "state": "OH",
      "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 Neurologist (Brain, Spine, Stroke & Nerve Specialist)",
    "certifying_board": "American Board of Psychiatry and Neurology (ABPN)",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "13",
        "medicare_type": "Physician/Neurology"
      },
      {
        "medicare_code": "86",
        "medicare_type": "Physician/Neuropsychiatry"
      }
    ]
  }
}