Physician Compare National (NPI:1194765297)

HEALTHCARE PROVIDER: MARK LEVY 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	1194765297
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7911188420
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110216000668
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	LEVY
	Individual professional last name
Provider First Name	MARK
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	MEDICAL COLLEGE OF PENNSYLVANIA
	Individual professional's medical school
Graduation Year	1975
	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	255 W LANCASTER AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 200
	Group Practice or individual's line 2 address
City	PAOLI
	Group Practice or individual's city
State	PA
	Group Practice or individual's state
Zip Code	193011763
	Group Practice or individual's zip code (9 digits when available)
Phone Number	6106442255096645
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	390153
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	PAOLI HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	390195
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	MAIN LINE HOSPITAL LANKENAU
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	390139
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	BRYN MAWR HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	390222
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	RIDDLE MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	390111
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	HOSPITAL OF UNIV OF PENNSYLVANIA
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1194765297)

HEALTHCARE PROVIDER: MARK LEVY MD

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information