Physician Compare National (NPI:1033116694)

HEALTHCARE PROVIDER: KRISHNASWAMY SWAMINATHAN 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	1033116694
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0345384020
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100218000476
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SWAMINATHAN
	Individual professional last name
Provider First Name	KRISHNASWANY
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1979
	Individual professional's medical school graduation year
Primary Specialty	GENERAL SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	VASCULAR SURGERY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	VASCULAR SURGERY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	1054 SW 1ST AVE
	Group Practice or individual's line 1 address
City	OCALA
	Group Practice or individual's city
State	FL
	Group Practice or individual's state
Zip Code	344740921
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	100212
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MARION COMMUNTIY HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	100062
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	MUNROE REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y