{
  "npi": "1912179003",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "WILLIAM",
    "authorized_official_last_name": "FAZIO",
    "authorized_official_name_prefix": "Mr.",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "4805451808",
    "authorized_official_title_or_position": "Controller",
    "enumeration_date": "2008-03-28",
    "last_updated": "2009-05-14",
    "organization_name": "ADVANCED CARDIAC SPECIALISTS, CHARTERED",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "PO BOX 63423",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "PHOENIX",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "480-288-1400",
      "postal_code": "850823423",
      "state": "AZ",
      "telephone_number": "480-982-2800"
    },
    {
      "address_1": "2005 HWY 60",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "GLOBE",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "480-982-1400",
      "postal_code": "85501",
      "state": "AZ",
      "telephone_number": "928-425-7600"
    }
  ],
  "taxonomies": [
    {
      "code": "207RC0000X",
      "desc": "Internal Medicine, Cardiovascular Disease",
      "license": null,
      "primary": false,
      "state": "AZ",
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "207RC0001X",
      "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
      "license": null,
      "primary": false,
      "state": "AZ",
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "208600000X",
      "desc": "Surgery",
      "license": null,
      "primary": false,
      "state": "AZ",
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "2086S0129X",
      "desc": null,
      "license": null,
      "primary": false,
      "state": "AZ",
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "363AM0700X",
      "desc": "Physician Assistant, Medical",
      "license": null,
      "primary": false,
      "state": "AZ",
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "363LA2200X",
      "desc": "Nurse Practitioner, Adult Health",
      "license": null,
      "primary": false,
      "state": "AZ",
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "207R00000X",
      "desc": "Internal Medicine",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "208800000X",
      "desc": "Urology",
      "license": null,
      "primary": true,
      "state": "AZ",
      "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": "Board-Certified Urologist (Urinary Tract, Kidney Stone & Prostate Surgeon)",
    "certifying_board": "American Board of Urology (ABU)",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "34",
        "medicare_type": "Physician/Urology"
      }
    ]
  }
}