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National Downloadable File - Extended View

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Row numberNPIPAC IDProfessional Enrollment IDLast NameFirst NameMiddle NameSuffixGenderCredentialMedical school nameGraduation yearPrimary specialtyAll secondary specialtiesOrganization legal nameGroup Practice PAC IDNumber of Group Practice membersLine 1 Street AddressLine 2 Street AddressMarker of address line 2 suppressionCityStateZip CodeClaims based hospital affiliation CCN 1Claims based hospital affiliation LBN 1Claims based hospital affiliation CCN 2Claims based hospital affiliation LBN 2Claims based hospital affiliation CCN 3Claims based hospital affiliation LBN 3Claims based hospital affiliation CCN 4Claims based hospital affiliation LBN 4Claims based hospital affiliation CCN 5Claims based hospital affiliation LBN 5Professional accepts Medicare AssignmentParticipating in eRxParticipating in PQRSParticipating in EHR
110030012982860571270I20080509000143WARRENKASEYWFUNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY2007OPTOMETRYWARREN EYE ASSOCIATES105249046335401 FMNKYLETX786406039Y
210030013630446319719I20081103000096STEVENSCHARLESRMUNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE2003ANESTHESIOLOGYINTERVENTIONAL PAIN MANAGEMENTCHARLES R. STEVENS, M.D.,APC933511214311665 S IMPERIAL AVEDNEL CENTROCA922434247050045EL CENTRO REGIONAL MEDICAL CENTER030117PHC-FORT MOHAVE, INC.050342PIONEERS MEMORIAL HEALTHCARE DISTRICTYYY
310030013630446319719I20081103000096STEVENSCHARLESRMUNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE2003ANESTHESIOLOGYINTERVENTIONAL PAIN MANAGEMENTCHARLES R. STEVENS, M.D.,APC933511214311665 S IMPERIAL AVENEL CENTROCA922434247050045EL CENTRO REGIONAL MEDICAL CENTER030117PHC-FORT MOHAVE, INC.050342PIONEERS MEMORIAL HEALTHCARE DISTRICTYYY
410030018435597718650I20050301000433LUECHINGERINGECFCNSOTHER1998CLINICAL NURSE SPECIALISTFAMILY THERAPY PC226467763211296 PARKER SERDNCONYERSGA300945951M
510030010176800973199I20080410000770NICHOLSLAWRENCEMUNIVERSITY OF CALIFORNIA, IRVINE, CALIFORNIA COLLEGE OF MEDICINE1968DERMATOLOGYLAWRENCE M NICHOLS MD INC933527347315471 LA PALMA AVESUITE 202NLA PALMACA906231794050580PRIME HEALTHCARE LA PALMA LLCYYY
610030010176800973199I20080410000770NICHOLSLAWRENCEMUNIVERSITY OF CALIFORNIA, IRVINE, CALIFORNIA COLLEGE OF MEDICINE1968DERMATOLOGYLAWRENCE M NICHOLS MD INC933527347315471 LA PALMA AVENLA PALMACA906231794050580PRIME HEALTHCARE LA PALMA LLCYYY
710030012982860571270I20080509000143WARRENKASEYWFUNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY2007OPTOMETRYWARREN EYE ASSOCIATES105249046335401 FM110NKYLETX786406039Y
812351978237315913126I20040902001256STOKESBARBARAMFCSWOTHER1980CLINICAL SOCIAL WORKER123717 HAWTHORNE BLVDNTORRANCECA905055973Y
917807202840042248858I20050802001200STRAUSSRICHARDAMCSWOTHER1982CLINICAL SOCIAL WORKER11130 PELHAM S PKWY3HNBRONXNY104611023Y
1016492513496002707718I20040323000332CARRICOJUDYAFNPOTHER2003NURSE PRACTITIONERCARRICO CONGLETON FAMILY PRACTICE LLC488086663122315 MAYFAIR DRNOWENSBOROKY423014557180038OWENSBORO HEALTH INC151322PERRY COUNTY MEMORIAL HOSPITALYYY
1114573582698820080849I20040331000829WOLFSWINKELTERRYLLMDCNATIONAL COLLEGE OF CHIROPRACTIC1984CHIROPRACTICOSKALOOSA CHIROPRACTIC CLINIC PC23655789371211 N J STNOSKALOOSAIA525771964YY
1216392898043870537152I20091109000177LUTZCHRISTOPHERGEORGEMODPENNSYLVANIA COLLEGE OF OPTOMETRY1999OPTOMETRYROBERT S GROSS MD, PC519390167621400 WANTAGH AVE#207NWANTAGHNY117932257YY
1313563445920244296903I20101005000669SACHSSTEPHENMMBOWMAN GRAY SCHOOL OF MEDICINE OF WAKE FOREST UNIVERSITY1978GENERAL SURGERYVASCULAR SURGERYSTEPHEN M. SACHS, MD PA7719943471111110 MEDICAL CAMPUS RDNHAGERSTOWNMD217426727210001MERITUS MEDICAL CENTER INCMYY
1413968505668123156692I20100505000213GAYEFFPAULRMFERRIS STATE COLLEGE - COLLEGE OF OPTOMETRY1969OPTOMETRYPAUL R GAYEFF OD PC943628790122500 7TH AVE S SUNESCANABAMI498291176MYY
1518412683642769412857I20050818000230HANAGNESHFMDMOUNT SINAI SCHOOL OF MEDICINE OF CITY UNIVERSITY OF NEW YORK1987GASTROENTEROLOGYAGNES HAN, MD07492124131960 JOHNSON FERRY NERDYATLANTAGA303421625110161NORTHSIDE HOSPITAL INC110005NORTHSIDE HOSPITAL INCYY
1610534864725698776896I20070130000399SALCEDOANNA FLORCFMDOTHER1998INTERNAL MEDICINEAPEX MEDICAL CENTER INC933503978341701 BEARDEN DR200 APEX MEDICAL CENTERNLAS VEGASNV891064189290045DIGNITY HEALTHMYY
1716492600500244136661I20031208000865SCAIFEROBERTHUNTERMODSOUTHERN COLLEGE OF OPTOMETRY2000OPTOMETRYBAKER EYE INSTITUTE68007922352810 MERRIMAN STNCONWAYAR720324436YY
1818211917684082873369I20120306000288WOLFFBRADLEYEMCLEVELAND CHIROPRACTIC COLLEGE - LOS ANGELES1986CHIROPRACTIC11900 E TAHQUITZ CYN WAYSUITE C-1NPALM SPRINGSCA922627062Y
1918918058267416113964I20120727000166MATHISCYNTHIAMFHAHNEMANN UNIVERSITY COLLEGE OF MEDICINE1992PHYSICAL MEDICINE AND REHABILITATIONCYNTHIA M. MATHIS, MD, PC044641699416221 WILSHIRE BLVDYLOS ANGELESCA900485215050625CEDARS-SINAI MEDICAL CENTERY
2013361487416305826454I20040721000792ALDAYMIGUELRMMDOTHER1969DIAGNOSTIC RADIOLOGYCONSULTANTS IN RADIOLOGY, PA993115760916831 EUREKA STNWEATHERFORDTX760865807Y
2113463746183476634171I20080119000111BARASHHELENMFMICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE2001DERMATOLOGYSVC DERMATOLOGY PC68008060505305 N LEROY STNFENTONMI484302729YYY
2218917501542961590690I20071114000198ROSEDAVIDMILTONMPENNSYLVANIA COLLEGE OF PODIATRIC MEDICINE1969PODIATRY12 FRANKLIN TOWN BLVDNPHILADELPHIAPA191031238Y
2311846908774183818115I20101103000495SMITHPHILIPLMUNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY1991OPTOMETRYSHELDON P BRAVERMAN MD P A741609904931100 N MAIN AVENSAN ANTONIOTX782124701YYY
2410634181926901807437I20100201000197SILVERSTEINRODGERHMNEW YORK MEDICAL COLLEGE1978OPHTHALMOLOGYSILVERSTEIN EYE CARE, L.L.C.45877074762777 PASSAIC AVE485NCLIFTONNJ070121882Y
2513765588257214957588I20051201000230CHENGAPPAKULIAKANDAMMMDOTHER1973PSYCHIATRYWAYNESBORO FAMILY CLINIC3274445903121706 WAYNE MEMORIAL DRNGOLDSBORONC275342240Y
2612957990133870558232I20041124000468NATARAJANBALAKRISHNANMMDNORTHWESTERN UNIVERSITY MEDICAL SCHOOL1992SPORTS MEDICINEHOSPICE/PALLIATIVE CARE, INTERNAL MEDICINEBALU NATARAJAN MD SC10524114442711 W N AVENCHICAGOIL606107010140281NORTHWESTERN MEMORIAL HOSPITALY
2710937195444284821158I20101206000460HUBBARDMOIRAAFOTHER1991CLINICAL PSYCHOLOGIST12395 OAK VALLEY DR100NANN ARBORMI481039118M
2814575401892365672581I20140307000595BIRDSONGCRYSTALANNFOTHER1999NURSE PRACTITIONER13407 CARROLL STNALAMOSACO811012062Y
2919827180866901939800I20100729000051HURWITZLAWRENCEBMSTATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE1965PSYCHIATRYLAWRENCE B HURWITZ MDPC024448714815100 W TAFT RDYLIVERPOOLNY130883809M
3014877274753274720024I20101207000279NGHUNGFMOTHER1982INTERNAL MEDICINE1109 LAFAYETTE ST206NNEW YORKNY100134138MY
3116098616577315926342I20040714001212INGBERMANDINORAFMDRUSH MEDICAL COLLEGE OF RUSH UNIVERSITY1989PHYSICAL MEDICINE AND REHABILITATIONPAIN MANAGEMENT1660 W WESTMORE CTNLAKE FORESTIL600451591140130NORTHWESTERN LAKE FOREST HOSPITAL140010NORTHSHORE UNIVERSITY HEALTHSYSTEMY
3213068410692668461716I20040512000540MCCOYMARYAFMDTULANE UNIVERSITY SCHOOL OF MEDICINE1984INTERNAL MEDICINEMARY TOFT, M.D. A MEDICAL CORPORATION0143219220144725 10TH W STNLANCASTERCA935343049050056ANTELOPE VALLEY HOSPITAL DISTRICTYYY
3317301716951759421837I20091222000037MCCRADYMARTHAFFOTHER1962CLINICAL SOCIAL WORKER113223 GLENSIDE DRNDALLASTX752345005Y
3410230560585294727640I20040402001056BOGARDDAVIDBMCNAOTHER1999CERTIFIED REGISTERED NURSE ANESTHETISTRIVERSIDE MEDICAL CENTER INC30725042164800 RIVERSIDE DRNWAUPACAWI549811943521334RIVERSIDE MEDICAL CENTER INC521326THEDACARE MEDICAL CENTER NEW LONDON, INC.YY
3513563473898022196070I20080416000536ADLERHERBERTMMHAHNEMANN UNIVERSITY COLLEGE OF MEDICINE1955PSYCHIATRYHERBERT M. ADLER ASSOCIATES PC044633836211015 CHESTNUT ST1000NPHILADELPHIAPA191074310Y
3611847385859234216672I20080409000258MANNWILLARDKMLOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS1985GENERAL SURGERYCOMMUNITY MEDICAL GROUP-ST. CHARLES INC064840516771057 PAUL MAILLARD RDYLULINGLA700704349190079ST CHARLES PARISH HOSPITAL SERVICE DISTRICTY
3714777834212860536778I20100216000492CLYDEERICMMOTHER2009OPTOMETRYVALLEY EYE CARE INC.135544280723050 N 44TH STNPHOENIXAZ850187265M
3812958028906507875325I20060406000126LOPEZANGELLMMDOTHER1999GENERAL PRACTICE1AVE LUIS MUNOZ RIVERA 109 SUR ALTOSCENTRO PROFESIONAL SUITE 201NCAYEYPR00736Y
3911342356334688649171I20040828000037FINGEREDWARDMDPMPENNSYLVANIA COLLEGE OF PODIATRIC MEDICINE1975PODIATRY1550 MAPLE AVESUITE 201NSARATOGA SPRINGSNY128665605330222SARATOGA HOSPITALY
4017009129202365540275I20070530000537DUONGPAULNMTULANE UNIVERSITY SCHOOL OF MEDICINE1999CARDIOVASCULAR DISEASE (CARDIOLOGY)INTERNAL MEDICINESOUTHWEST DESERT CARDIOLOGY PC4385627785620414 N 27 AVE300NPHOENIXAZ850273250030092JOHN C LINCOLN HEALTH NETWORK030014JOHN C LINCOLN HEALTH NETWORKYY
4116292067688123263183I20130321000283MOYJINGFONMOTHER2009FAMILY PRACTICEPELLEGRIN BROAD MORSE & LE MDS77190464085143 E MAIN STNLOS GATOSCA950306903YY
4210736044351355233107I20040326000314BROOKSKENNETHMARKMMDTULANE UNIVERSITY SCHOOL OF MEDICINE1978CARDIOVASCULAR DISEASE (CARDIOLOGY)CARDIAC CARE ASSOCIATES PC630588497473023 HAMAKER CT100NFAIRFAXVA220312227490107RESTON HOSPITAL CENTER, LLC490063INOVA HEALTH CARE SERVICES490043LOUDOUN HOSPITAL CENTER490040INOVA HEALTH CARE SERVICESYYY
4314270913962062450174I20050822000478MOCHANNELFMDUNIVERSITY OF PENNSYLVANIA SCHOOL OF MEDICINE1994DIAGNOSTIC RADIOLOGYCAPITAL HEALTH ADVANCED IMAGING, PC458768431118750 BRUNSWICK AVEATTN RADIOLOGY DEPTNTRENTONNJ08638310044CAPITAL HEALTH SYSTEM, INC.310092CAPITAL HEALTH SYSTEM, INC.310022VIRTUA WEST JERSEY HEALTH SYSTEM INC310032SOUTH JERSEY HOSPITAL, INC.310057VIRTUA - MEMORIAL HOSPITAL OF BURLINGTON COUNTY, INCY
4416391731498426071739I20060112000127MILESROBERTHMMDTULANE UNIVERSITY SCHOOL OF MEDICINE1976INTERNAL MEDICINEMP MEDICAL PARTNERS LLC660800232422820 NAPOLEON AVE750NNEW ORLEANSLA701156985190036OCHSNER CLINIC FOUNDATIONYY
4513566128731557517646I20120806000191BAILEYDAVIDCJR.MUNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE2011NURSE PRACTITIONERJEFFERY G PARKER M.D. P.C.266855192032810 LURLEEN B WALLACE BLVDNNORTHPORTAL354763249Y
4619422012317517083892I20100923000881MOSTGARYJOSEPHMOHIO COLLEGE OF PODIATRIC MEDICINE1991PODIATRYFOOT AND ANKLE PHYSICIANS OF GEAUGA, INC.6800823808212585 CHILLICOTHE RDNCHESTERLANDOH44026360230CLEVELAND CLINIC HEALTH SYSTEM - EAST REGIONYY
4716797975914587694542I20050818000907MELNICKJOSEPHMCPOTHER1971CLINICAL PSYCHOLOGISTPORTLAND CENTER FOR COUNSELING AND PSYCHOTHERAPY29616454601178 MIDDLE STYPORTLANDME041014075Y
4818614671103870570153I20040706000182MUSARAM CORNELIOUSMMDOTHER1989GENERAL SURGERYANTARES MEDICAL LLC498186543317671 QUARTERFIELD RDNGLEN BURNIEMD210614525210043BALTIMORE WASHINGTON MEDICAL CENTER INC.210048HOWARD COUNTY GENERAL HOSPITAL, INC,Y
4912355568046901022813I20140730001634KLUTEKYLEDEANMILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO2013OPTOMETRYHEARTLAND EYE CONSULTANTS LLC357756698379900 NICHOLAS ST275NOMAHANE681142249Y
5010232329316204055346I20140922002624DOBBELSDENISEMFUNIVERSITY OF ILLINOIS AT CHICAGO HEALTH SCIENCE CENTER1982CLINICAL SOCIAL WORKERBORST DAY & ASSOCIATES INC55977316047901 FOX GLEN CTNBARRINGTONIL600101863Y

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cms cms

created Jun 25, 2013

updated Mar 18, 2015

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This view contains all data elements available in the Physician Compare National Downloadable File. It is intended for researchers with experience in advanced data manipulation techniques. This view allows researchers to identify all the Medicare enrollments for a single provider and all providers enrolled with a particular group practice. Numerical identifiers for group practices are included to distinguish between groups with similar names.

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