Physician Compare National (NPI:1134265978)

HEALTHCARE PROVIDER: WILLIAM N PANEK DPM

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

Individual Professional Information
NPI	1134265978
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4688856099
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110307000537
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	PANEK
	Individual professional last name
Provider First Name	WILLIAM
	Individual professional first name
Provider Middle Name	N
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
	Individual professional's medical school
Graduation Year	1984
	Individual professional's medical school graduation year
Primary Specialty	PODIATRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	969 MARY VALE DR
	Group Practice or individual's line 1 address
City	CHEEKTOUAGA
	Group Practice or individual's city
State	NY
	Group Practice or individual's state
Zip Code	142252301
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7166325800
	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