Physician Compare National (NPI:1043378045)

HEALTHCARE PROVIDER: DON HAROLD GAEDE 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	1043378045
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5698802767
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100421000438
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	GAEDE
	Individual professional last name
Provider First Name	DON
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1976
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	PERIPHERAL VASCULAR DISEASE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	PERIPHERAL VASCULAR DISEASE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	7191 N MILLBROOK AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 115
	Group Practice or individual's line 2 address
City	FRESNO
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	937203365
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5592610266
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y