{
  "npi": "1982424388",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "MD, MBA",
    "authorized_official_first_name": "GABRIEL",
    "authorized_official_last_name": "SANTIAGO",
    "authorized_official_middle_name": "F",
    "authorized_official_name_prefix": "Dr.",
    "authorized_official_telephone_number": "4436465001",
    "authorized_official_title_or_position": "President",
    "certification_date": "2024-10-11",
    "enumeration_date": "2024-10-11",
    "last_updated": "2024-10-11",
    "organization_name": "AESTHETIC MEDICINE AND SURGERY, PLLC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "PO BOX 4",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "MC LEAN",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "410-257-7042",
      "postal_code": "221010004",
      "state": "VA",
      "telephone_number": "443-646-5001"
    },
    {
      "address_1": "3300 GALLOWS RD",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "FALLS CHURCH",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "410-257-7042",
      "postal_code": "220423300",
      "state": "VA",
      "telephone_number": "443-646-5001"
    }
  ],
  "taxonomies": [
    {
      "code": "207T00000X",
      "desc": "Neurological Surgery",
      "license": null,
      "primary": true,
      "state": null,
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "207Y00000X",
      "desc": "Otolaryngology",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "2086S0122X",
      "desc": "Surgery, Plastic and Reconstructive Surgery",
      "license": null,
      "primary": false,
      "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": "Board-Certified Neurosurgeon (Brain, Cranial & Spine Surgeon)",
    "certifying_board": "American Board of Neurological Surgery (ABNS)",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "02",
        "medicare_type": "Physician/General Surgery"
      },
      {
        "medicare_code": "14",
        "medicare_type": "Physician/Neurosurgery"
      }
    ]
  }
}