Physician Compare National (NPI:1073054128)

HEALTHCARE PROVIDER: JOHN PATRICK SETZER LCSW

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

Individual Professional Information
NPI	1073054128
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1355613027
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20170816001990
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SETZER
	Individual professional last name
Provider First Name	JOHN
	Individual professional first name
Provider Middle Name	PATRICK
	Individual professional middle 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	2012
	Individual professional's medical school graduation year
Primary Specialty	CLINICAL SOCIAL WORKER
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	8135 NEW LA GRANGE RD
	Group Practice or individual's line 1 address
City	LOUISVILLE
	Group Practice or individual's city
State	KY
	Group Practice or individual's state
Zip Code	402224682
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5026481001
	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