Physician Compare National (NPI:1013966514)

HEALTHCARE PROVIDER: SCOTT IRA ROSEN MD

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

Individual Professional Information
NPI	1013966514
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4385787324
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100129000710
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ROSEN
	Individual professional last name
Provider First Name	SCOTT
	Individual professional first name
Provider Middle Name	I
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
	Individual professional's medical school
Graduation Year	1988
	Individual professional's medical school graduation year
Primary Specialty	UROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	GENERAL SURGERY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	GENERAL SURGERY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	281 N 12TH ST
	Group Practice or individual's line 1 address
City	LEHIGHTON
	Group Practice or individual's city
State	PA
	Group Practice or individual's state
Zip Code	182351101
	Group Practice or individual's zip code (9 digits when available)
Phone Number	6102528291
	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	390194
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	BLUE MOUNTAIN HOSPITAL-GNADEN HUETTEN CAMPUS
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	390049
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	ST LUKE'S HOSPITAL BETHLEHEM
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	390183
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	ST LUKE'S MINERS MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	390326
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	ST LUKE'S HOSPITAL - ANDERSON CAMPUS
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	390162
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	EASTON HOSPITAL
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1013966514)

HEALTHCARE PROVIDER: SCOTT IRA ROSEN MD

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information