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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
110030018435597718650I20050301000433LUECHINGERINGECFCNSOTHER1998CLINICAL NURSE SPECIALISTFAMILY THERAPY PC226467763211296 PARKER SERDNCONYERSGA300945951M
212351978237315913126I20040902001256STOKESBARBARAMFCSWOTHER1980CLINICAL SOCIAL WORKER123717 HAWTHORNE BLVDNTORRANCECA905055973Y
317807202840042248858I20050802001200STRAUSSRICHARDAMCSWOTHER1982CLINICAL SOCIAL WORKER11130 PELHAM S PKWY3HNBRONXNY104611023Y
414573582698820080849I20040331000829WOLFSWINKELTERRYLLMDCNATIONAL COLLEGE OF CHIROPRACTIC1984CHIROPRACTICOSKALOOSA CHIROPRACTIC CLINIC PC23655789371211 N J STNOSKALOOSAIA525771964YY
513563445920244296903I20101005000669SACHSSTEPHENMMBOWMAN GRAY SCHOOL OF MEDICINE OF WAKE FOREST UNIVERSITY1978GENERAL SURGERYVASCULAR SURGERYSTEPHEN M. SACHS, MD PA7719943471111110 MEDICAL CAMPUS RDNHAGERSTOWNMD217426727210001MERITUS MEDICAL CENTER INCMYY
618211917684082873369I20120306000288WOLFFBRADLEYEMCLEVELAND CHIROPRACTIC COLLEGE - LOS ANGELES1986CHIROPRACTIC11900 E TAHQUITZ CYN WAYSUITE C-1NPALM SPRINGSCA922627062Y
718918058267416113964I20120727000166MATHISCYNTHIAMFHAHNEMANN UNIVERSITY COLLEGE OF MEDICINE1992PHYSICAL MEDICINE AND REHABILITATIONCYNTHIA M. MATHIS, MD, PC044641699416221 WILSHIRE BLVDYLOS ANGELESCA900485215050625CEDARS-SINAI MEDICAL CENTERY
813463746183476634171I20080119000111BARASHHELENMFMICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE2001DERMATOLOGYSVC DERMATOLOGY PC68008060505305 N LEROY STNFENTONMI484302729YYY
918917501542961590690I20071114000198ROSEDAVIDMILTONMPENNSYLVANIA COLLEGE OF PODIATRIC MEDICINE1969PODIATRY12 FRANKLIN TOWN BLVDNPHILADELPHIAPA191031238Y
1011846908774183818115I20101103000495SMITHPHILIPLMUNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY1991OPTOMETRYSHELDON P BRAVERMAN MD P A741609904931100 N MAIN AVENSAN ANTONIOTX782124701YYY
1110634181926901807437I20100201000197SILVERSTEINRODGERHMNEW YORK MEDICAL COLLEGE1978OPHTHALMOLOGYSILVERSTEIN EYE CARE, L.L.C.45877074762777 PASSAIC AVE485NCLIFTONNJ070121882Y
1212957990133870558232I20041124000468NATARAJANBALAKRISHNANMMDNORTHWESTERN UNIVERSITY MEDICAL SCHOOL1992SPORTS MEDICINEHOSPICE/PALLIATIVE CARE, INTERNAL MEDICINEBALU NATARAJAN MD SC10524114442711 W N AVENCHICAGOIL606107010140281NORTHWESTERN MEMORIAL HOSPITALY
1310937195444284821158I20101206000460HUBBARDMOIRAAFOTHER1991CLINICAL PSYCHOLOGIST12395 OAK VALLEY DR100NANN ARBORMI481039118M
1414575401892365672581I20140307000595BIRDSONGCRYSTALANNFOTHER1999NURSE PRACTITIONER13407 CARROLL STNALAMOSACO811012062Y
1519827180866901939800I20100729000051HURWITZLAWRENCEBMSTATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE1965PSYCHIATRYLAWRENCE B HURWITZ MDPC024448714815100 W TAFT RDYLIVERPOOLNY130883809M
1614877274753274720024I20101207000279NGHUNGFMOTHER1982INTERNAL MEDICINE1109 LAFAYETTE ST206NNEW YORKNY100134138MY
1713068410692668461716I20040512000540MCCOYMARYAFMDTULANE UNIVERSITY SCHOOL OF MEDICINE1984INTERNAL MEDICINEMARY TOFT, M.D. A MEDICAL CORPORATION0143219220144725 10TH W STNLANCASTERCA935343049050056ANTELOPE VALLEY HOSPITAL DISTRICTYYY
1817301716951759421837I20091222000037MCCRADYMARTHAFFOTHER1962CLINICAL SOCIAL WORKER113223 GLENSIDE DRNDALLASTX752345005Y
1913563473898022196070I20080416000536ADLERHERBERTMMHAHNEMANN UNIVERSITY COLLEGE OF MEDICINE1955PSYCHIATRYHERBERT M. ADLER ASSOCIATES PC044633836211015 CHESTNUT ST1000NPHILADELPHIAPA191074310Y
2014777834212860536778I20100216000492CLYDEERICMMOTHER2009OPTOMETRYVALLEY EYE CARE INC.135544280723050 N 44TH STNPHOENIXAZ850187265M
2112958028906507875325I20060406000126LOPEZANGELLMMDOTHER1999GENERAL PRACTICE1AVE LUIS MUNOZ RIVERA 109 SUR ALTOSCENTRO PROFESIONAL SUITE 201NCAYEYPR00736Y
2211342356334688649171I20040828000037FINGEREDWARDMDPMPENNSYLVANIA COLLEGE OF PODIATRIC MEDICINE1975PODIATRY1550 MAPLE AVESUITE 201NSARATOGA SPRINGSNY128665605330222SARATOGA HOSPITALY
2316391731498426071739I20060112000127MILESROBERTHMMDTULANE UNIVERSITY SCHOOL OF MEDICINE1976INTERNAL MEDICINEMP MEDICAL PARTNERS LLC660800232422820 NAPOLEON AVE750NNEW ORLEANSLA701156985190036OCHSNER CLINIC FOUNDATIONYY
2413566128731557517646I20120806000191BAILEYDAVIDCJR.MUNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE2011NURSE PRACTITIONERJEFFERY G PARKER M.D. P.C.266855192032810 LURLEEN B WALLACE BLVDNNORTHPORTAL354763249Y
2519422012317517083892I20100923000881MOSTGARYJOSEPHMOHIO COLLEGE OF PODIATRIC MEDICINE1991PODIATRYFOOT AND ANKLE PHYSICIANS OF GEAUGA, INC.6800823808212585 CHILLICOTHE RDNCHESTERLANDOH44026360230CLEVELAND CLINIC HEALTH SYSTEM - EAST REGIONYY
2616797975914587694542I20050818000907MELNICKJOSEPHMCPOTHER1971CLINICAL PSYCHOLOGISTPORTLAND CENTER FOR COUNSELING AND PSYCHOTHERAPY29616454601178 MIDDLE STYPORTLANDME041014075Y
2718614671103870570153I20040706000182MUSARAM CORNELIOUSMMDOTHER1989GENERAL SURGERYANTARES MEDICAL LLC498186543317671 QUARTERFIELD RDNGLEN BURNIEMD210614525210043BALTIMORE WASHINGTON MEDICAL CENTER INC.210048HOWARD COUNTY GENERAL HOSPITAL, INC,Y
2818715940366406831585I20111104000244NGUYENHUNG-ANHBMMDOTHER1998FAMILY PRACTICETRI-DUNG G. HOANG MD INCORPORATED276965467236540 STOCKTON BLVDYSACRAMENTOCA958231635YYY
2910938479491759487036I20070502000605WITTETODDNMMDMEDICAL COLLEGE OF VIRGINIA COMMONWEALTH UNIVERSITY SCHOOL OF MEDICINE1999GASTROENTEROLOGYNORTHWEST GASTROENTEROLOGY PROFESSIONAL LLC9335052265102979 SQUALICUM PKWYYBELLINGHAMWA982251813500030PEACEHEALTHYYY
3013565452893072587617I20040820000514KEATINGJOHNGMMDTULANE UNIVERSITY SCHOOL OF MEDICINE1981ORTHOPEDIC SURGERYJOHN G KEATING MD PC923412744013715 NORTHSIDENATLANTAGA303272854110115TENET HEALTH SYSTEM GB, INC.M
3117109685326507828688I20041101000630GIBSONLAURENCEFMMDCHICAGO COLLEGE OF MEDICINE AND SURGERY1995GENERAL SURGERYLAKE COUNTY GENERAL AND VASCULAR SURGICAL ASSOCIATES, P.C.155732223731 S GREENLEAF STANGURNEEIL600313370140084WAUKEGAN ILLINOIS HOSPITAL COMPANY LLC140202ADVOCATE CONDELL MEDICAL CENTER140033WAUKEGAN ILLINOIS HOSPITAL COMPANY LLCY
3212554358227911194402I20101209000875WIRTADAVIDMUNIVERSITY OF CALIFORNIA, UCLA SCHOOL OF MEDICINE1993OPHTHALMOLOGYPLASTIC AND RECONSTRUCTIVE SURGERYDAVID L. WIRTA M.D. INC.99313964213520 SUPERIOR AVESUITE 235NNEWPORT BEACHCA92663050224HOAG MEMORIAL HOSPITAL PRESBYTERIANY
3311745912006901838648I20050902000207PIERREJEANS.MMDOTHER1979EMERGENCY MEDICINE12401 QUANTUM BLVDNBOYNTON BEACHFL334268612Y
3418110421042860684446I20101014000783DU CHIEN, JRORINWESLEYMNORTHWESTERN COLLEGE OF CHIROPRACTIC1990CHIROPRACTIC118751 STATE HWY148NPICKERINGMO644768119YYY
3516493633911557554771I20101020001151BOWENJASONMPALMER COLLEGE CHIROPRACTIC - WEST SUNNYVALE1989CHIROPRACTIC15777 N FRESNO ST101NFRESNOCA937106065YY
3615088117793678752482I20110413001033ZIEGLSCHMID ADAMSMARYEFUNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS1988DERMATOLOGYARLINGTON DERMATOLOGY CLINIC, PA30727928781801 RD TO SIX FLAGS W139NARLINGTONTX760122600Y
3714778658635890980759I20101117000881LINSLEYCHADMFERRIS STATE COLLEGE - COLLEGE OF OPTOMETRY2010OPTOMETRYDR. GLEN A. LINSLEY OPTOMETRIST, PC99312276592109 E MAPLE STNMASONMI488541655YY
3811242252220446349872I20071207000432COOKEARYIANLFMEDICAL COLLEGE OF WISCONSIN2003OBSTETRICS/GYNECOLOGYWALDORF WOMENS CARE3678741899211355 PEMBROOKE SQUARENWALDORFMD206034805210035CIVISTA MEDICAL CENTER INC.Y
3910634891771052305133I20101018000718ROETMANMICHAELLMILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO1981OPTOMETRYMICHAEL L. ROETMAN, O.D.P.C.04462445291502 1ST AVENROCK RAPIDSIA512461014YYYY
4019725074244284673401I20110504000028HAMILTONJOSHUAMNPOTHER2006NURSE PRACTITIONER11401 HILLSHIRE DR130NLAS VEGASNV891346366Y
4114876702203577723329I20120417000038WILLIAMSONALANMCREIGHTON UNIVERSITY SCHOOL OF MEDICINE1984VASCULAR SURGERYALAN E WILLIAMSON MD INC1355502725139300 BOB HOPE DRYRANCHO MIRAGECA922703203050573EISENHOWER MEDICAL CENTERY
4212250659079537354212I20101108000539BLACKRONALDMPALMER COLLEGE CHIROPRACTIC - DAVENPORT1972CHIROPRACTICOTTAWA CHIROPRACTIC CENTER, INC.28606876471139 S WALNUT STNOTTAWAOH458751817Y
4319726183879931262730I20090105000521CHANASUEJOHNAMNEW YORK UNIVERSITY SCHOOL OF MEDICINE1976DERMATOLOGYJOHN A.CHANASUE, M.D.LTD33756061711307 HENRY STNALTONIL620026326M
4412352874006709021355I20130402000183FANTINIPAMELACFOTHER1987CLINICAL PSYCHOLOGISTPAMELA FANTINI PHD LLC3375788920181 WASHINGTON ST202NSALEMMA019703514Y
4512051834073274786405I20130119000003VANDERBROOKHEIDIMFBAYLOR COLLEGE OF MEDICINE2012NURSE PRACTITIONERROBERT IAN MYERS, MD, PA024440296433600 GASTON AVENDALLASTX752461805Y
4614977490221355443045I20070227000428CHAUDHRYHARVINDERKFMDOTHER1981INTERNAL MEDICINEGERIATRIC MEDICINE120 WALNUT STNMONTGOMERYNY125492260330126ORANGE REGIONAL MEDICAL CENTER330264ST. LUKE'S CORNWALL HOSPITALY
4713462786527618878588I20040115000275DEAKINCHRISTOPHERMMMDSTATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE1999PSYCHIATRYCHRISTOPHER M. DEAKIN, M.D. PLLC307269900814140 SHERIDAN DR8NWILLIAMSVILLENY142214341M
4813169318279133103062I20040617000022SCHMIDTDEBRAJFCSWOTHER1992CLINICAL SOCIAL WORKER16000 S STAPLES ST406 BROOKHOLLOW OFFICENCORPUS CHRISTITX78413M
4913161214450244360360I20100615000815PRAIDULCINEARFOTHER2002CLINICAL SOCIAL WORKERPRAI COUNSELING SERVICES INC680092692418671 WOLFF CTNWESTMINSTERCO800313689Y
5015585698060547358293I20071114000444EARLPATRICIAWFOTHER1987AUDIOLOGISTTHE EARL FAMILY LLC367866161822900 TAZEWELL PIKENKNOXVILLETN379181880YY

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cms cms

created Jun 25, 2013

updated Aug 11, 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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