Physician Compare National (NPI:1124050745)

HEALTHCARE PROVIDER: STEVEN MARC DANACEAU 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	1124050745
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1658268404
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20101213000046
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	DANACEAU
	Individual professional last name
Provider First Name	STEVEN
	Individual professional first name
Provider Middle Name	MARC
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	VIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1992
	Individual professional's medical school graduation year
Primary Specialty	ORTHOPEDIC SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	2501 N GLEBE RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 201
	Group Practice or individual's line 2 address
City	ARLINGTON
	Group Practice or individual's city
State	VA
	Group Practice or individual's state
Zip Code	222073558
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	490050
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	VIRGINIA HOSPITAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y