Physician Compare National (NPI:1174858104)

HEALTHCARE PROVIDER: PEDRO GUZMAN 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	1174858104
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3274677679
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20111006000689
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	GUZMAN
	Individual professional last name
Provider First Name	PEDRO
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1991
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	141 N CEDAR ST
	Group Practice or individual's line 1 address
City	HAZLETON
	Group Practice or individual's city
State	PA
	Group Practice or individual's state
Zip Code	182015580
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	390185
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	LEHIGH VALLEY HOSPITAL - HAZLETON
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	390006
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	GEISINGER MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	390270
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	GEISINGER WYOMING VALLEY MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y