Physician Compare National (NPI:1144249400)

HEALTHCARE PROVIDER: DANIEL M ADDIS MD, DO

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

Individual Professional Information
NPI	1144249400
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6709801434
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20051012000849
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ADDIS
	Individual professional last name
Provider First Name	DANIEL
	Individual professional first name
Provider Middle Name	M
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	DO
	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 COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
	Individual professional's medical school
Graduation Year	1998
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	219 PARKER RD
	Group Practice or individual's line 1 address
City	DANVILLE
	Group Practice or individual's city
State	VA
	Group Practice or individual's state
Zip Code	245404034
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	490075
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	SOVAH HEALTH DANVILLE
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y