Physician Compare National (NPI:1174597470)

HEALTHCARE PROVIDER: DANIEL JOSEPH DYMEK 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	1174597470
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1557437159
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080905000116
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	DYMEK
	Individual professional last name
Provider First Name	DANIEL
	Individual professional first name
Provider Middle Name	J
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1976
	Individual professional's medical school graduation year
Primary Specialty	CARDIOVASCULAR DISEASE (CARDIOLOGY)
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	INTERNAL MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	INTERNAL MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	1447 N HARRISON ST
	Group Practice or individual's line 1 address
Line 2 Street Address	COVENANT HEALTHCARE
	Group Practice or individual's line 2 address
City	SAGINAW
	Group Practice or individual's city
State	MI
	Group Practice or individual's state
Zip Code	486024727
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	230070
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	COVENANT MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	231314
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	MCKENZIE HEALTH SYSTEM
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	230077
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	ST MARY'S OF MICHIGAN MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y