Physician Compare National (NPI:1063578284)

HEALTHCARE PROVIDER: SCOTT BENJAMIN MARRUS 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	1063578284
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1254507346
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20151201000695
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MARRUS
	Individual professional last name
Provider First Name	SCOTT
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2005
	Individual professional's medical school graduation year
Primary Specialty	CARDIOVASCULAR DISEASE (CARDIOLOGY)
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	INTERNAL MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	INTERNAL MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	ST ELIZABETHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	6406753011
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	10
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	340 W LINCOLN ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 327
	Group Practice or individual's line 2 address
City	BELLEVILLE
	Group Practice or individual's city
State	IL
	Group Practice or individual's state
Zip Code	622201942
	Group Practice or individual's zip code (9 digits when available)
Phone Number	6182342120
	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	140187
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	HSHS ST ELIZABETH'S HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	140145
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	ST JOSEPHS HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	140137
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	GREENVILLE REGIONAL HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	141336
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	ST JOSEPH'S HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	140185
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1063578284)

HEALTHCARE PROVIDER: SCOTT BENJAMIN MARRUS MD

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information