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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
211242252220446349872I20071207000432COOKEARYIANLFMEDICAL COLLEGE OF WISCONSIN2003OBSTETRICS/GYNECOLOGYWALDORF WOMENS CARE3678741899211355 PEMBROOKE SQUARENWALDORFMD206034805210035CIVISTA MEDICAL CENTER INC.Y
312250659079537354212I20101108000539BLACKRONALDMPALMER COLLEGE CHIROPRACTIC - DAVENPORT1972CHIROPRACTICOTTAWA CHIROPRACTIC CENTER, INC.28606876471139 S WALNUT STNOTTAWAOH458751817Y
419726183879931262730I20090105000521CHANASUEJOHNAMNEW YORK UNIVERSITY SCHOOL OF MEDICINE1976DERMATOLOGYJOHN A.CHANASUE, M.D.LTD33756061711307 HENRY STNALTONIL620026326M
513161214450244360360I20100615000815PRAIDULCINEARFOTHER2002CLINICAL SOCIAL WORKERPRAI COUNSELING SERVICES INC680092692418671 WOLFF CTNWESTMINSTERCO800313689Y
619323722817810059003I20081223000059LEBARONBRIANMMNEW YORK CHIROPRACTIC COLLEGE2008CHIROPRACTICKJ HEALTHCARE GROUP LLC5193899755321 BISHOP HOLLOW RDNNEWTOWN SQUAREPA190733212M
719422466730547226102I20041206000290BAYNERSTEPHANIEMFMDOTHER1984PHYSICAL MEDICINE AND REHABILITATIONSMB MEDICAL, P.C.650701425515901 94TH STYELMHURSTNY113735049Y
817503295958820258338I20120320000935SOSEBEEREBECCACHASTEENFOTHER2000OPTOMETRYALL EYES VISION CARE PC620409670414965 LANIER ISLANDS PKWYNBUFORDGA305181717Y
915584482334486821956I20120124000663SMITHTROYRMPALMER COLLEGE CHIROPRACTIC - DAVENPORT1995CHIROPRACTICA BETTER CHOICE CHIROPRACTIC185056832014922 BRAINERD RDNCHATTANOOGATN374113901Y
1016493483509537331970I20111007000467QUINTROBERTMOHIO STATE UNIVERSITY COLLEGE OF MEDICINE1960CARDIOVASCULAR DISEASE (CARDIOLOGY)INTERNAL MEDICINEROBERT A. QUINT MD MEDICAL CORPORATION09414723851173 N MORRISON AVENSAN JOSECA951262712050153O'CONNOR HOSPITALY
1111341262530547351264I20071201000153HORNROBERTGMVANDERBILT UNIVERSITY SCHOOL OF MEDICINE1958PATHOLOGYLABORATORY FOR KIDNEY PATHOLOGY INC791109863731916 PATTERSON STNNASHVILLETN372032153Y
1218018697227911074273I20080929000309FINNJOHNCMCASE WESTERN RESERVE UNIVERSITY SCHOOL OF MEDICINE1989PLASTIC AND RECONSTRUCTIVE SURGERYOTOLARYNGOLOGYFINN FACIAL PLASTICS PA822416287011390 ENVIRON WAYNCHAPEL HILLNC275174430Y
1313261078555496781205I20111117000008ZELISKORICHARDMUNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE1986CLINICAL SOCIAL WORKERZELISKO AND LYTTON LLC5799711594251 N MAIN STNSOUTHINGTONCT064892537Y
1416897126717719041367I20100224000661BACOSCHRISTOSMTUFTS UNIVERSITY SCHOOL OF MEDICINE1962ORAL SURGERY (DENTIST ONLY)MAXILLOFACIAL SURGERYMERRIMACK VALLEY ORAL SURGEONS, INC6901969401433 BARTLETT STNLOWELLMA018521334Y
1519121884340547354748I20070919000365ROTHFELDIRAMTULANE UNIVERSITY SCHOOL OF MEDICINE1956OTOLARYNGOLOGYIRA D ROTHFELD MD P.C.882018830313128 29TH STNASTORIANY111063364Y
1610938980821658434626I20090120000075MCGOWANALEXANDERMPENNSYLVANIA COLLEGE OF OPTOMETRY1990OPTOMETRYALLIED VISION SERVICES LLC822419129121004 WASHINGTON BLVDNROBBINSVILLENJ086913118Y
1710230254670244498426I20120220000205PERRONCHRISTOPHERRMLIFE CHIROPRACTIC COLLEGE1996CHIROPRACTICRESTON CHIROPRACTIC, INC.4284891789111715 BOWMAN GREEN DRNRESTONVA201903507M
1810230008257618169426I20101012001104RHODESGREGGFMSHERMAN COLLEGE OF STRAIGHT CHIROPRACTIC1984CHIROPRACTICGREGG F RHODES DC PC87292705251333 BROAD STNMONTOURSVILLEPA177542205Y
1919526163441254507635I20120106000204DAVISAMYLFOTHER2001CLINICAL SOCIAL WORKERCALHOUN CONSULTANTS LLC55979364011900 HITT STNOTTAWAIL613505109Y
2012453428988820036643I20090224000183MOSESBRODERICKMODUNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY2004OPTOMETRYMOSES VISION CARE0345338547111660 WESTHEIMER RDNHOUSTONTX770776798Y
2117907736467719889211I20040124000111FOXMARIELOUISEFODOTHER2003OPTOMETRYDR MARIE FOX PLC852722020114855 W CENTRE AVE BNPORTAGEMI490244686Y
2219920837370345495511I20130220000231RAUPEJAMESBARTHOLOMEWMOTHER2011OPTOMETRYANDERSON EYECARE PLLC771914654722001 B S ELM PLNBROKEN ARROWOK740127025Y
2311544363017315029246I20080130000517EAMESJENNIFERFFSHERMAN COLLEGE OF STRAIGHT CHIROPRACTIC2002CHIROPRACTICMARION FAMILY CHIROPRACTIC INC18504710953238 WAREHAM RDNMARIONMA027381166Y
2411049162465597718320I20120103000742LUDDENTRACYFODPENNSYLVANIA COLLEGE OF OPTOMETRY1995OPTOMETRYENCHANTED MOUNTAIN OPTOMETRY,PLLC16585473101912 W STATE STNOLEANNY147602242Y
2519827830649537143151I20111205000929MICHELSDENNISLMSOUTHERN COLLEGE OF OPTOMETRY1969OPTOMETRYEASTERN EYE ASSOCIATES337552799721007 W VERNON AVENKINSTONNC285013613Y
2618917198458123016664I20040504000744DUDLEYLISACAROLFODUNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY2003OPTOMETRYCHARLOTTE OPTOMETRY CENTER OD PLLC660809985818701 JW CLAY BLVDNCHARLOTTENC282625417Y
2710534785114688653090I20040719000934GROFTJOELTMDCWESTERN STATES COLLEGE OF CHIROPRACTIC2002CHIROPRACTICATHENS CHIROPRACTIC HEALTHCARE, LLC91333817181623 N MILLEDGE AVESUITE ANATHENSGA30606Y
2813967492898628146701I20101118000174WENZELBRIANMLOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS1974PATHOLOGYPATHOLOGY LABORATORY ASSOCIATES, P.A.07492032713100 MEMORIAL HOSPITA DRSUITE DNMOBILEAL366019999010144SPRINGHILL HOSPITALS INCYY
2918515990966709991755I20120120000003WILLS HEASTONLINDAAFNEW ENGLAND COLLEGE OF OPTOMETRY1991OPTOMETRYAICO OPTICAL, P.C.4486866878110301 DAWSONS CREEK BLVDNFORT WAYNEIN468251955M
3012251471432860386836I20040211000023ALHAMBRAMARABELLAFMDOTHER1972NEUROLOGYUNIVERSAL SLEEP AND ATTENTION CENTER LLC266836663414775 MANHATTAN DRNROCKFORDIL611082264Y
3112758304246608051743I20110921000101DANNUGDANIELJOSEPHMOTHER2010CHIROPRACTICDDAP, LLC397176878929720 CYPRESSWOOD DRNHOUSTONTX770703355Y
3211240073645991698680I20120620000757GUERRIERMARCAMMDUNIVERSITY OF MIAMI SCHOOL OF MEDICINE2000INTERNAL MEDICINEPRIMARY MEDICAL CENTER OF LAKELAND LLC327479737811417 LAKELAND HILLS BOULEVARDSUITE 101NLAKELANDFL338053200Y
3315484570390042307118I20071106000611JONESSUSANJFUNIVERSITY OF CALIFORNIA, UCLA SCHOOL OF MEDICINE2000NURSE PRACTITIONERSUSAN J JONES, ARNP MSN PLLC307263732115548 MYRTLE AVENFREELANDWA982498776501339WHIDBEY ISLAND PUBLIC HOSPITAL DISTRICTM
3411847425539032386859I20120119000478MAYDEBRALFNEW YORK CHIROPRACTIC COLLEGE1985CHIROPRACTICDR. DEBRA MAY DC PC82242050421157 CLAWSON STNSTATEN ISLANDNY103063238M
3517403430948224126552I20071120000107GRACEPETERMMLIFE CHIROPRACTIC COLLEGE - WEST1997CHIROPRACTICBARDSTOWN CHIROPRACTIC PLLC074934468711009 N 3RD STNBARDSTOWNKY400042616Y
3619423812236709813215I20061206000301FORTSONWILBERTMMDSAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE1991OBSTETRICS/GYNECOLOGYPERINATAL CENTER OF SAVANNAH741612812915354 REYNOLDS STNSAVANNAHGA314054913Y
3719028494820446427280I20120119000761BRISMANRONALDMHARVARD MEDICAL SCHOOL1965NEUROSURGERYRONALD BRISMAN, M.D.,P.C.43858111241710 W 168TH STNNEW YORKNY100323726330101THE NEW YORK AND PRESBYTERIAN HOSPITALY
3810434398709830152248I20041108000056COLON PENAARISTIDESMMDOTHER2001FAMILY PRACTICECENTRO DE MEDICINA DE FAMILIA DE CAYEY1658530266555 CALLE JOSE CELSO BARBOSA SNCAYEYPR007364726400013HOSPITAL MENONITA DE CAYEYY
3917100724422163501719I20080507000317TRANTHEODOREDMOREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE1987OPHTHALMOLOGYTHEODORE D. TRAN, M.D., INC.943623800311739 W ROMNEYA DRNANAHEIMCA928011804YY
4016099353867911951926I20050311000289BEIDINGERFRANCESMARIAFCSWOTHER1983CLINICAL SOCIAL WORKER8527257922107 N EDDY STNSOUTH BENDIN466172920M
4119221623207911950191I20050711000595DUVENDACKDAVIDTMODOHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY1999OPTOMETRYCAPITAL EYES LLC34766809501WAL MART VISION CTRNHOLLANDOH435289141Y
4214776261666204982036I20090921000458HANZELINRAYMONDHMOTHER1975PODIATRYRAYMOND H HANZELIN DPM LTD610308659017851 OGDEN AVE1DNLYONSIL606341320140054VHS OF ILLINOIS INCY
4310433619266305942772I20120419000386TULLIDGEARCHERKMEAST TENNESSEE STATE UNIVERSITY, QUILLEN-DISHNER COLLEGE OF MEDICINE1992PSYCHIATRYADDICTION MEDICINEARCHER K.TULLIDGE MD PA01433265121402 FLORENCE STNTOMBALLTX773754622M
4419525632641052361532I20050124000593KIMESMARKMDCLOS ANGELES COLLEGE OF CHIROPRACTIC1985CHIROPRACTICMARK KIMES DC CHIROPRACTIC INC7618103938117 E SAN JOAQUIN STNSALINASCA939012903Y
4512554767840446236772I20120209000610CARLISLEWILLIAMMLINCOLN CHIROPRACTIC COLLEGE1964CHIROPRACTICCARLISLE CHIROPRACTIC CLINIC29616695021306 S BOULEVARDNCHARLOTTENC282174116Y
4619028514708628004215I20050714000843KOTJEFFREYBMAUPENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE1983AUDIOLOGISTKOT H/A CENTER, LLC16585267511453 CLIFTON AVENCLIFTONNJ070112682M
4711846195618628062684I20040413000132WEHLCHRISMCPOTHER1988CLINICAL PSYCHOLOGISTCHRIS WEHL, PH.D., INC.37797356751505 E 200 SNSALT LAKE CITYUT841022055Y
4814078368026406972876I20100923000624HOLMANCAROLYNFUNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE1985NURSE PRACTITIONERELBERTA CLINIC PC6901874403524980 STATE STNELBERTAAL365302573Y
4919927285059638125800I20050330001023CHAPMANPHILLIPSHAYNEMDCCLEVELAND CHIROPRACTIC COLLEGE - KANSAS CITY2003CHIROPRACTICLIBERTY CHIROPRACTIC CENTER LLC74169823011257 W MILLNLIBERTYMO640682339YY
5014179841887810160835I20111107000627LUNDIUS GALLAGHERJENNIFERRFLOGAN COLLEGE OF CHIROPRACTIC1992CHIROPRACTICGALLAGHER FAMILY CHIROPRACTIC892127193329511 DELEGATES ROWNINDIANAPOLISIN462403807M

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cms cms

created Jun 25, 2013

updated May 19, 2016

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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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