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Physician Compare National (NPI:1124001284)

HEALTHCARE PROVIDER: JOHN R MCARDLE 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 1124001284
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 3678645330
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20080712000023
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name MCARDLE
Individual professional last name
Provider First Name JOHN
Individual professional first name
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Individual professional's medical school
Graduation Year 1994
Individual professional's medical school graduation year
Primary Specialty PULMONARY DISEASE
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Organization Legal Name STARLING PHYSICIANS PC
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 7517863749
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 221
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 100 SIMSBURY RD
Group Practice or individual's line 1 address
City AVON
Group Practice or individual's city
State CT
Group Practice or individual's state
Zip Code 060013793
Group Practice or individual's zip code (9 digits when available)
Phone Number 8602583480
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 070025
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 HARTFORD HOSPITAL
Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2 070018
Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2 GREENWICH HOSPITAL ASSOCIATION -
Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment M

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