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National Downloadable File - Extended View

This is a filtered view based on National Downloadable File.

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
210030010176800973199I20080410000770NICHOLSLAWRENCEMUNIVERSITY OF CALIFORNIA, IRVINE, CALIFORNIA COLLEGE OF MEDICINE1968DERMATOLOGYLAWRENCE M NICHOLS MD INC933527347315471 LA PALMA AVESUITE 202NLA PALMACA906231794050580PRIME HEALTHCARE LA PALMA LLCYYY
310030010176800973199I20080410000770NICHOLSLAWRENCEMUNIVERSITY OF CALIFORNIA, IRVINE, CALIFORNIA COLLEGE OF MEDICINE1968DERMATOLOGYLAWRENCE M NICHOLS MD INC933527347315471 LA PALMA AVENLA PALMACA906231794050580PRIME HEALTHCARE LA PALMA LLCYYY
412351978237315913126I20040902001256STOKESBARBARAMFCSWOTHER1980CLINICAL SOCIAL WORKER123717 HAWTHORNE BLVDNTORRANCECA905055973Y
517807202840042248858I20050802001200STRAUSSRICHARDAMCSWOTHER1982CLINICAL SOCIAL WORKER11130 PELHAM S PKWY3HNBRONXNY104611023Y
616492513496002707718I20040323000332CARRICOJUDYAFNPOTHER2003NURSE PRACTITIONERCARRICO CONGLETON FAMILY PRACTICE LLC488086663122315 MAYFAIR DRNOWENSBOROKY423014557180038OWENSBORO HEALTH INC151322PERRY COUNTY MEMORIAL HOSPITALYYY
714573582698820080849I20040331000829WOLFSWINKELTERRYLLMDCNATIONAL COLLEGE OF CHIROPRACTIC1984CHIROPRACTICOSKALOOSA CHIROPRACTIC CLINIC PC23655789371211 N J STNOSKALOOSAIA525771964YY
813563445920244296903I20101005000669SACHSSTEPHENMMBOWMAN GRAY SCHOOL OF MEDICINE OF WAKE FOREST UNIVERSITY1978GENERAL SURGERYVASCULAR SURGERYSTEPHEN M. SACHS, MD PA7719943471111110 MEDICAL CAMPUS RDNHAGERSTOWNMD217426727210001MERITUS MEDICAL CENTER INCMYY
913968505668123156692I20100505000213GAYEFFPAULRMFERRIS STATE COLLEGE - COLLEGE OF OPTOMETRY1969OPTOMETRYPAUL R GAYEFF OD PC943628790122500 7TH AVE S SUNESCANABAMI498291176MYY
1010534864725698776896I20070130000399SALCEDOANNA FLORCFMDOTHER1998INTERNAL MEDICINEAPEX MEDICAL CENTER INC933503978341701 BEARDEN DR200 APEX MEDICAL CENTERNLAS VEGASNV891064189290045DIGNITY HEALTHMYY
1116492600500244136661I20031208000865SCAIFEROBERTHUNTERMODSOUTHERN COLLEGE OF OPTOMETRY2000OPTOMETRYBAKER EYE INSTITUTE68007922352810 MERRIMAN STNCONWAYAR720324436YY
1218211917684082873369I20120306000288WOLFFBRADLEYEMCLEVELAND CHIROPRACTIC COLLEGE - LOS ANGELES1986CHIROPRACTIC11900 E TAHQUITZ CYN WAYSUITE C-1NPALM SPRINGSCA922627062Y
1318918058267416113964I20120727000166MATHISCYNTHIAMFHAHNEMANN UNIVERSITY COLLEGE OF MEDICINE1992PHYSICAL MEDICINE AND REHABILITATIONCYNTHIA M. MATHIS, MD, PC044641699416221 WILSHIRE BLVDYLOS ANGELESCA900485215050625CEDARS-SINAI MEDICAL CENTERY
1413361487416305826454I20040721000792ALDAYMIGUELRMMDOTHER1969DIAGNOSTIC RADIOLOGYCONSULTANTS IN RADIOLOGY, PA993115760916831 EUREKA STNWEATHERFORDTX760865807Y
1513463746183476634171I20080119000111BARASHHELENMFMICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE2001DERMATOLOGYSVC DERMATOLOGY PC68008060505305 N LEROY STNFENTONMI484302729YYY
1618917501542961590690I20071114000198ROSEDAVIDMILTONMPENNSYLVANIA COLLEGE OF PODIATRIC MEDICINE1969PODIATRY12 FRANKLIN TOWN BLVDNPHILADELPHIAPA191031238Y
1711846908774183818115I20101103000495SMITHPHILIPLMUNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY1991OPTOMETRYSHELDON P BRAVERMAN MD P A741609904931100 N MAIN AVENSAN ANTONIOTX782124701YYY
1810634181926901807437I20100201000197SILVERSTEINRODGERHMNEW YORK MEDICAL COLLEGE1978OPHTHALMOLOGYSILVERSTEIN EYE CARE, L.L.C.45877074762777 PASSAIC AVE485NCLIFTONNJ070121882Y
1913765588257214957588I20051201000230CHENGAPPAKULIAKANDAMMMDOTHER1973PSYCHIATRYWAYNESBORO FAMILY CLINIC3274445903121706 WAYNE MEMORIAL DRNGOLDSBORONC275342240Y
2012957990133870558232I20041124000468NATARAJANBALAKRISHNANMMDNORTHWESTERN UNIVERSITY MEDICAL SCHOOL1992SPORTS MEDICINEHOSPICE/PALLIATIVE CARE, INTERNAL MEDICINEBALU NATARAJAN MD SC10524114442711 W N AVENCHICAGOIL606107010140281NORTHWESTERN MEMORIAL HOSPITALY
2110937195444284821158I20101206000460HUBBARDMOIRAAFOTHER1991CLINICAL PSYCHOLOGIST12395 OAK VALLEY DR100NANN ARBORMI481039118M
2214575401892365672581I20140307000595BIRDSONGCRYSTALANNFOTHER1999NURSE PRACTITIONER13407 CARROLL STNALAMOSACO811012062Y
2319827180866901939800I20100729000051HURWITZLAWRENCEBMSTATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE1965PSYCHIATRYLAWRENCE B HURWITZ MDPC024448714815100 W TAFT RDYLIVERPOOLNY130883809M
2414877274753274720024I20101207000279NGHUNGFMOTHER1982INTERNAL MEDICINE1109 LAFAYETTE ST206NNEW YORKNY100134138MY
2516098616577315926342I20040714001212INGBERMANDINORAFMDRUSH MEDICAL COLLEGE OF RUSH UNIVERSITY1989PHYSICAL MEDICINE AND REHABILITATIONPAIN MANAGEMENT1660 W WESTMORE CTNLAKE FORESTIL600451591140130NORTHWESTERN LAKE FOREST HOSPITAL140010NORTHSHORE UNIVERSITY HEALTHSYSTEMY
2613068410692668461716I20040512000540MCCOYMARYAFMDTULANE UNIVERSITY SCHOOL OF MEDICINE1984INTERNAL MEDICINEMARY TOFT, M.D. A MEDICAL CORPORATION0143219220144725 10TH W STNLANCASTERCA935343049050056ANTELOPE VALLEY HOSPITAL DISTRICTYYY
2717301716951759421837I20091222000037MCCRADYMARTHAFFOTHER1962CLINICAL SOCIAL WORKER113223 GLENSIDE DRNDALLASTX752345005Y
2810230560585294727640I20040402001056BOGARDDAVIDBMCNAOTHER1999CERTIFIED REGISTERED NURSE ANESTHETISTRIVERSIDE MEDICAL CENTER INC30725042164800 RIVERSIDE DRNWAUPACAWI549811943521334RIVERSIDE MEDICAL CENTER INC521326THEDACARE MEDICAL CENTER NEW LONDON, INC.YY
2913563473898022196070I20080416000536ADLERHERBERTMMHAHNEMANN UNIVERSITY COLLEGE OF MEDICINE1955PSYCHIATRYHERBERT M. ADLER ASSOCIATES PC044633836211015 CHESTNUT ST1000NPHILADELPHIAPA191074310Y
3011847385859234216672I20080409000258MANNWILLARDKMLOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS1985GENERAL SURGERYCOMMUNITY MEDICAL GROUP-ST. CHARLES INC064840516771057 PAUL MAILLARD RDYLULINGLA700704349190079ST CHARLES PARISH HOSPITAL SERVICE DISTRICTY
3114777834212860536778I20100216000492CLYDEERICMMOTHER2009OPTOMETRYVALLEY EYE CARE INC.135544280723050 N 44TH STNPHOENIXAZ850187265M
3212958028906507875325I20060406000126LOPEZANGELLMMDOTHER1999GENERAL PRACTICE1AVE LUIS MUNOZ RIVERA 109 SUR ALTOSCENTRO PROFESIONAL SUITE 201NCAYEYPR00736Y
3311342356334688649171I20040828000037FINGEREDWARDMDPMPENNSYLVANIA COLLEGE OF PODIATRIC MEDICINE1975PODIATRY1550 MAPLE AVESUITE 201NSARATOGA SPRINGSNY128665605330222SARATOGA HOSPITALY
3410736044351355233107I20040326000314BROOKSKENNETHMARKMMDTULANE UNIVERSITY SCHOOL OF MEDICINE1978CARDIOVASCULAR DISEASE (CARDIOLOGY)CARDIAC CARE ASSOCIATES PC630588497473023 HAMAKER CT100NFAIRFAXVA220312227490107RESTON HOSPITAL CENTER, LLC490063INOVA HEALTH CARE SERVICES490043LOUDOUN HOSPITAL CENTER490040INOVA HEALTH CARE SERVICESYYY
3516391731498426071739I20060112000127MILESROBERTHMMDTULANE UNIVERSITY SCHOOL OF MEDICINE1976INTERNAL MEDICINEMP MEDICAL PARTNERS LLC660800232422820 NAPOLEON AVE750NNEW ORLEANSLA701156985190036OCHSNER CLINIC FOUNDATIONYY
3613566128731557517646I20120806000191BAILEYDAVIDCJR.MUNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE2011NURSE PRACTITIONERJEFFERY G PARKER M.D. P.C.266855192032810 LURLEEN B WALLACE BLVDNNORTHPORTAL354763249Y
3719422012317517083892I20100923000881MOSTGARYJOSEPHMOHIO COLLEGE OF PODIATRIC MEDICINE1991PODIATRYFOOT AND ANKLE PHYSICIANS OF GEAUGA, INC.6800823808212585 CHILLICOTHE RDNCHESTERLANDOH44026360230CLEVELAND CLINIC HEALTH SYSTEM - EAST REGIONYY
3816797975914587694542I20050818000907MELNICKJOSEPHMCPOTHER1971CLINICAL PSYCHOLOGISTPORTLAND CENTER FOR COUNSELING AND PSYCHOTHERAPY29616454601178 MIDDLE STYPORTLANDME041014075Y
3918614671103870570153I20040706000182MUSARAM CORNELIOUSMMDOTHER1989GENERAL SURGERYANTARES MEDICAL LLC498186543317671 QUARTERFIELD RDNGLEN BURNIEMD210614525210043BALTIMORE WASHINGTON MEDICAL CENTER INC.210048HOWARD COUNTY GENERAL HOSPITAL, INC,Y
4012355568046901022813I20140730001634KLUTEKYLEDEANMILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO2013OPTOMETRYHEARTLAND EYE CONSULTANTS LLC357756698379900 NICHOLAS ST275NOMAHANE681142249Y
4117109822105698768661I20101004000171NADLERSTEVENC.MUMDNJ-NEW JERSEY MEDICAL SCHOOL1987GASTROENTEROLOGYMIDDLESEX MONMOUTH GASTROENTEROLOGY266846562663 HOSPITAL PLAZANOLD BRIDGENJ088573095310111CENTRASTATE MEDICAL CENTER INC.310112MERIDIAN HOSPITALS CORPORATION310039RARITAN BAY MEDICAL CENTERYYY
4218715940366406831585I20111104000244NGUYENHUNG-ANHBMMDOTHER1998FAMILY PRACTICETRI-DUNG G. HOANG MD INCORPORATED276965467236540 STOCKTON BLVDYSACRAMENTOCA958231635YYY
4310030123523678665437I20070824000029BOOTSCARRIEJFOTHER2006NURSE PRACTITIONERFORT WAYNE MEDICAL ONCOLOGY AND HEMATOLOGY INC2961394440197910 W JEFFERSON BLVD108NFORT WAYNEIN468044159150017IOM HEALTH SYSTEM LPYY
4418910229505991943557I20130521000716SMITHSHARONGFUNIVERSITY OF ALABAMA SCHOOL OF MEDICINE2009CLINICAL SOCIAL WORKERHARALSON COUNTY BOARD OF HEALTH034526630021449 TEMPLE RDNBREMENGA30110Y
4510938479491759487036I20070502000605WITTETODDNMMDMEDICAL COLLEGE OF VIRGINIA COMMONWEALTH UNIVERSITY SCHOOL OF MEDICINE1999GASTROENTEROLOGYNORTHWEST GASTROENTEROLOGY PROFESSIONAL LLC9335052265102979 SQUALICUM PKWYYBELLINGHAMWA982251813500030PEACEHEALTHYYY
4612251096484981518735I20031117000064SALEEMISAROSHFMDOTHER1986PAIN MANAGEMENTANESTHESIOLOGYINTERVENTIONAL PAIN ASSOCIATES963833601914613 BEE CAVES RDNWEST LAKE HILLSTX787465206Y
4714779759104385875889I20140326001691INGLISWHITNEYFOTHER2012NURSE PRACTITIONERPINNACLE PHYSICIAN GROUP LLP125448669973611 WINDY RDGNTUSCALOOSAAL354063676M
4816290563381557338951I20040915000224GUPTASURENDRAMMDOTHER1967NEPHROLOGYSOUTH QUEENS NEPHROLOGY ASSOCIATES9537261011617537 LIBERTY AVENJAMAICANY114331325330195LONG ISLAND JEWISH MEDICAL CENTERMY
4913565452893072587617I20040820000514KEATINGJOHNGMMDTULANE UNIVERSITY SCHOOL OF MEDICINE1981ORTHOPEDIC SURGERYJOHN G KEATING MD PC923412744013715 NORTHSIDENATLANTAGA303272854110115TENET HEALTH SYSTEM GB, INC.M
5017109685326507828688I20041101000630GIBSONLAURENCEFMMDCHICAGO 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

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cms cms

created Jun 25, 2013

updated Apr 16, 2015

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Description

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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