Physician Compare National (NPI:1215048632)

HEALTHCARE PROVIDER: HAYWARD CLINTON MABEN III 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	1215048632
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4789676347
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20040401001583
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MABEN
	Individual professional last name
Provider First Name	HAYWARD
	Individual professional first name
Provider Middle Name	C
	Individual professional middle name
Provider Name Suffix Text	III
	The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1986
	Individual professional's medical school graduation year
Primary Specialty	ANESTHESIOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	ANESTHESIA CARE CONSULTANTS INC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	9032210935
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	16
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	1849 BAYSHORE HWY
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 3
	Group Practice or individual's line 2 address
City	BURLINGAME
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	940101215
	Group Practice or individual's zip code (9 digits when available)
Phone Number	4083549254
	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