Physician Compare National (NPI:1104865856)

HEALTHCARE PROVIDER: BARTLEY PERRY GRIFFITH 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	1104865856
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4385830769
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20101124000496
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	GRIFFITH
	Individual professional last name
Provider First Name	BARTLEY
	Individual professional first name
Provider Middle Name	PERRY
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
	Individual professional's medical school
Graduation Year	1974
	Individual professional's medical school graduation year
Primary Specialty	CARDIAC SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	UNIVERSITY OF MARYLAND SURGICAL ASSOCIATES, PA
	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	1658262472
	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	80
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	419 W REDWOOD ST
	Group Practice or individual's line 1 address
Line 2 Street Address	FL 3
	Group Practice or individual's line 2 address
City	BALTIMORE
	Group Practice or individual's city
State	MD
	Group Practice or individual's state
Zip Code	212011734
	Group Practice or individual's zip code (9 digits when available)
Phone Number	4103285300
	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	210002
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	UNIVERSITY OF MARYLAND MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y