Physician Compare National (NPI:1003966961)

HEALTHCARE PROVIDER: DAVID PAUL SMITH M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1003966961
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4284892514
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20120216000101
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SMITH
	Individual professional last name
Provider First Name	DAVID
	Individual professional first name
Provider Middle Name	PAUL
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	1986
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	133 E 1ST N ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 2
	Group Practice or individual's line 2 address
City	SUMMERVILLE
	Group Practice or individual's city
State	SC
	Group Practice or individual's state
Zip Code	294836873
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8438711800
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	420079
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	TRIDENT MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	M