{"entity":{"entity_id":"f0a9ff9f-f247-484a-b670-84bdcd928db2","entity_type":"person","display_name":"JAMES GAAL","state":"WV","status":"active","merged_into":null,"methodology_version":"entity-graph/v1","created_at":"2026-06-11T01:51:09.105292+00:00","updated_at":"2026-06-11T01:51:09.105292+00:00"},"identifiers":[{"id_scheme":"cms_op_profile_id","id_value":"318265","source_table":"cms_open_payments","link_method":"exact_npi_in_open_payments","link_confidence":1,"source_evidence":{"npi":"1023070703","rule":"D-OP-NPI","recipient_profile_id":"318265"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T02:32:26.947853+00:00","recorded_at":"2026-06-13T02:32:26.947853+00:00"},{"id_scheme":"npi","id_value":"1023070703","source_table":"nppes_providers","link_method":"deterministic_pk","link_confidence":1,"source_evidence":{"rule":"D-NPI","source_pk":"1023070703","entity_type_code":"1"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-11T01:51:09.963512+00:00","recorded_at":"2026-06-11T01:51:09.963512+00:00"},{"id_scheme":"pac_id","id_value":"9830009968","source_table":"pecos_providers","link_method":"exact_npi_in_pecos","link_confidence":1,"source_evidence":{"npi":"1023070703","rule":"D-PECOS","enrlmt_id":"I20080114000537","pecos_asct_cntl_id":"9830009968"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-12T18:11:55.500484+00:00","recorded_at":"2026-06-12T18:11:55.500484+00:00"},{"id_scheme":"pecos_enrlmt_id","id_value":"I20080114000537","source_table":"pecos_providers","link_method":"exact_npi_in_pecos","link_confidence":1,"source_evidence":{"npi":"1023070703","rule":"D-PECOS","enrlmt_id":"I20080114000537"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-12T18:11:55.500484+00:00","recorded_at":"2026-06-12T18:11:55.500484+00:00"}],"edges":[{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"0797abb8-23a4-4401-a089-562b3f1b05b1","entity_type":"organization","display_name":"Novo Nordisk Inc","state":"NJ"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1023070703","manufacturer_id":"100000000144","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T17:24:57.668055+00:00","recorded_at":"2026-06-13T17:24:57.668055+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"09393ae7-8267-4853-8195-1801d4ccac46","entity_type":"organization","display_name":"ABBVIE INC.","state":"IL"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1023070703","manufacturer_id":"100000000204","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T18:20:45.6357+00:00","recorded_at":"2026-06-13T18:20:45.6357+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"4bb95475-9c05-4770-9c04-39004ec2ca47","entity_type":"organization","display_name":"GlaxoSmithKline, LLC.","state":"PA"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1023070703","manufacturer_id":"100000005449","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T21:05:07.726099+00:00","recorded_at":"2026-06-13T21:05:07.726099+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"cf82f7f5-9f0e-48d6-b2a2-56fbbcc1235b","entity_type":"organization","display_name":"PFIZER INC.","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":"1023070703","manufacturer_id":"100000000286","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T00:03:33.574202+00:00","recorded_at":"2026-06-14T00:03:33.574202+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"b19fc3df-bc10-48d5-9730-c0cc09b3112d","entity_type":"organization","display_name":"Astellas Pharma US Inc","state":"IL"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1023070703","manufacturer_id":"100000000137","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T02:32:31.931649+00:00","recorded_at":"2026-06-14T02:32:31.931649+00:00"},{"direction":"outbound","edge_type":"owns","neighbor":{"entity_id":"db54618f-631c-4ebf-9089-c4d07278a2d4","entity_type":"organization","display_name":"RIPLEY SNF OPERATIONS LLC","state":"WV"},"attributes":{"role_code":"43","association_date":"05/01/2021","percentage_ownership":0},"link_confidence":1,"source_table":"snf_all_owners","source_evidence":{"rule":"D-OWNER","owner_pac":"9830009968","source_pk":210441,"type_owner":"I","enrollment_id":"O20210618002147","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0,"enrollment_organization_name":"RIPLEY SNF OPERATIONS LLC"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-16T06:37:37.125997+00:00","recorded_at":"2026-06-16T06:37:37.125997+00:00"}],"edges_truncated":false,"methodology_version":"entity-graph/v1"}