Physician Compare National (NPI:1144462466)

HEALTHCARE PROVIDER: SCOTT ERIC BALOGH 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	1144462466
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3375841554
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20160421001241
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BALOGH
	Individual professional last name
Provider First Name	SCOTT
	Individual professional first name
Provider Middle Name	ERIC
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	1988
	Individual professional's medical school graduation year
Primary Specialty	PSYCHIATRY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	ADDICTION MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	ADDICTION MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	65 GERMANTOWN CT
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 203
	Group Practice or individual's line 2 address
City	CORDOVA
	Group Practice or individual's city
State	TN
	Group Practice or individual's state
Zip Code	380184258
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9013056789
	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