Physician Compare National (NPI:1174623896)

HEALTHCARE PROVIDER: R. DONALD CHASE D.O.

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

Individual Professional Information
NPI	1174623896
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2062607864
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20101105000816
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	CHASE
	Individual professional last name
Provider First Name	RAYMOND
	Individual professional first name
Provider Middle Name	D
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
	Individual professional's medical school
Graduation Year	1985
	Individual professional's medical school graduation year
Primary Specialty	OPHTHALMOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	9 HASTINGS SQUARE MALL
	Group Practice or individual's line 1 address
City	HACKETTSTOWN
	Group Practice or individual's city
State	NJ
	Group Practice or individual's state
Zip Code	078404227
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9088504300
	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