Physician Compare National (NPI:1154565539)

HEALTHCARE PROVIDER: JOSHU ALAN RAITEN 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	1154565539
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1153540133
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20140924001696
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	RAITEN
	Individual professional last name
Provider First Name	JOSHU
	Individual professional first name
Provider Middle Name	A
	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 NEW MEXICO SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2009
	Individual professional's medical school graduation year
Primary Specialty	PHYSICAL MEDICINE AND REHABILITATION
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	PAIN MANAGEMENT
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	PAIN MANAGEMENT
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	4824 MCMAHON BLVD NW
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 109
	Group Practice or individual's line 2 address
City	ALBUQUERQUE
	Group Practice or individual's city
State	NM
	Group Practice or individual's state
Zip Code	871145412
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	320074
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	LOVELACE WESTSIDE HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	320009
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	LOVELACE MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	320017
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	LOVELACE WOMEN'S HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	320021
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	PRESBYTERIAN HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y