{"entity":{"entity_id":"499d14fe-1972-42b9-b3cd-99d92ba43637","entity_type":"person","display_name":"GEORGE SHANNO","state":"WA","status":"active","merged_into":null,"methodology_version":"entity-graph/v1","created_at":"2026-06-11T07:11:00.829409+00:00","updated_at":"2026-06-11T07:11:00.829409+00:00"},"identifiers":[{"id_scheme":"cms_op_profile_id","id_value":"240889","source_table":"cms_open_payments","link_method":"exact_npi_in_open_payments","link_confidence":1,"source_evidence":{"npi":"1295780278","rule":"D-OP-NPI","recipient_profile_id":"240889"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T05:41:21.923368+00:00","recorded_at":"2026-06-13T05:41:21.923368+00:00"},{"id_scheme":"npi","id_value":"1295780278","source_table":"nppes_providers","link_method":"deterministic_pk","link_confidence":1,"source_evidence":{"rule":"D-NPI","source_pk":"1295780278","entity_type_code":"1"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-11T07:11:01.666451+00:00","recorded_at":"2026-06-11T07:11:01.666451+00:00"},{"id_scheme":"pac_id","id_value":"9133111248","source_table":"pecos_providers","link_method":"exact_npi_in_pecos","link_confidence":1,"source_evidence":{"npi":"1295780278","rule":"D-PECOS","enrlmt_id":"I20041019000612","pecos_asct_cntl_id":"9133111248"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-12T17:37:27.375798+00:00","recorded_at":"2026-06-12T17:37:27.375798+00:00"},{"id_scheme":"pecos_enrlmt_id","id_value":"I20041019000612","source_table":"pecos_providers","link_method":"exact_npi_in_pecos","link_confidence":1,"source_evidence":{"npi":"1295780278","rule":"D-PECOS","enrlmt_id":"I20041019000612"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-12T17:37:27.375798+00:00","recorded_at":"2026-06-12T17:37:27.375798+00:00"},{"id_scheme":"pecos_enrlmt_id","id_value":"I20100211000560","source_table":"pecos_providers","link_method":"exact_npi_in_pecos","link_confidence":1,"source_evidence":{"npi":"1295780278","rule":"D-PECOS","enrlmt_id":"I20100211000560"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-12T18:33:48.209693+00:00","recorded_at":"2026-06-12T18:33:48.209693+00:00"}],"edges":[{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"caa18caf-ee99-4dd3-8621-3f580a84752a","entity_type":"organization","display_name":"Penumbra, Inc.","state":"CA"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1295780278","manufacturer_id":"100000010583","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T13:45:34.704634+00:00","recorded_at":"2026-06-13T13:45:34.704634+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"5e7bfd20-c4ca-49d7-a7e9-4e94e95f51a5","entity_type":"organization","display_name":"DePuy Synthes Sales Inc.","state":"MA"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1295780278","manufacturer_id":"100000005615","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T13:55:08.356054+00:00","recorded_at":"2026-06-13T13:55:08.356054+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"b55da6a7-a77b-49ac-b556-b726f406abb4","entity_type":"organization","display_name":"Providence Medical Technology, Inc.","state":"CA"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1295780278","manufacturer_id":"100000081368","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T15:09:19.852749+00:00","recorded_at":"2026-06-13T15:09:19.852749+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"06e7626e-9416-4375-933f-bd2545c7c285","entity_type":"organization","display_name":"Alphatec Spine, Inc","state":"CA"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1295780278","manufacturer_id":"100000011129","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T15:31:20.650158+00:00","recorded_at":"2026-06-13T15:31:20.650158+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"e7a8a420-dd4d-429f-9016-bbbd3cca275c","entity_type":"organization","display_name":"Orthofix Medical, Inc.","state":"TX"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1295780278","manufacturer_id":"100000216794","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T23:32:50.679655+00:00","recorded_at":"2026-06-13T23:32:50.679655+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"e815e716-4484-4c5b-8fe4-f868f7cd36cd","entity_type":"organization","display_name":"Cerapedics Inc.","state":"CO"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1295780278","manufacturer_id":"100000151710","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T00:57:51.35335+00:00","recorded_at":"2026-06-14T00:57:51.35335+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"b9d4bf65-6232-4d62-a6bf-889f30563552","entity_type":"organization","display_name":"Kuros Biosciences USA, Inc","state":"GA"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1295780278","manufacturer_id":"100000886825","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T02:26:42.628622+00:00","recorded_at":"2026-06-14T02:26:42.628622+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"d367d2b1-2d95-4990-96ef-5650ff8dcf5c","entity_type":"organization","display_name":"Imperative Care, Inc","state":"CA"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1295780278","manufacturer_id":"100000521829","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T03:56:49.379694+00:00","recorded_at":"2026-06-14T03:56:49.379694+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"4fda1086-8013-4ea0-8917-70bbe5fed1a4","entity_type":"organization","display_name":"QAPEL MEDICAL INC","state":"CA"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1295780278","manufacturer_id":"100000626812","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T04:47:23.011023+00:00","recorded_at":"2026-06-14T04:47:23.011023+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"b5067f8f-a28b-4577-8e78-6ac82d506753","entity_type":"organization","display_name":"MicroVention, Inc.","state":"CA"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1295780278","manufacturer_id":"100000010928","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T06:27:21.325661+00:00","recorded_at":"2026-06-14T06:27:21.325661+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"684af8b0-dabe-43c4-9c95-520d4a645c86","entity_type":"organization","display_name":"Kaneka Medical America LLC","state":"NY"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1295780278","manufacturer_id":"100000011179","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T06:40:04.424194+00:00","recorded_at":"2026-06-14T06:40:04.424194+00:00"}],"edges_truncated":false,"methodology_version":"entity-graph/v1"}