Physician Compare National (NPI:1053323626)

HEALTHCARE PROVIDER: HOWARD PHILLIP LEVY D.O.

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

Individual Professional Information
NPI	1053323626
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7416975834
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20051103001236
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	LEVY
	Individual professional last name
Provider First Name	HOWARD
	Individual professional first name
Provider Middle Name	P
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	DO
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	CHICAGO COLLEGE OF OSTEOPATHY
	Individual professional's medical school
Graduation Year	1974
	Individual professional's medical school graduation year
Primary Specialty	OSTEOPATHIC MANIPULATIVE MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	FAMILY MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	FAMILY MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	41865 BOARDWALK
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 103
	Group Practice or individual's line 2 address
City	PALM DESERT
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	922119031
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	050279
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	HI-DESERT MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y