Physician Compare National (NPI:1073672515)

HEALTHCARE PROVIDER: SUSAN BETH MARSHALL 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	1073672515
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8123072824
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20050305000060
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MARSHALL
	Individual professional last name
Provider First Name	SUSAN
	Individual professional first name
Provider Middle Name	BETH
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	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	NEW YORK MEDICAL COLLEGE
	Individual professional's medical school
Graduation Year	1984
	Individual professional's medical school graduation year
Primary Specialty	NEPHROLOGY
	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
Line 1 Street Address	415 CENTRAL W PARK
	Group Practice or individual's line 1 address
Line 2 Street Address	1AF
	Group Practice or individual's line 2 address
City	NEW YORK
	Group Practice or individual's city
State	NY
	Group Practice or individual's state
Zip Code	100254813
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y