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Physician Compare National (NPI:1215933320)

HEALTHCARE PROVIDER: MORTON GERALD KAHAN 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 1215933320
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 9032159157
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20050509000592
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name KAHAN
Individual professional last name
Provider First Name MORTON
Individual professional first name
Provider Middle Name G
Individual professional middle name
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 HARVARD MEDICAL SCHOOL
Individual professional's medical school
Graduation Year 1969
Individual professional's medical school graduation year
Primary Specialty GENERAL SURGERY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Organization Legal Name NEWTON-WELLESLEY SURGEONS 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 3971600438
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 2
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 2000 WASHINGTON ST
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 365
Group Practice or individual's line 2 address
City NEWTON
Group Practice or individual's city
State MA
Group Practice or individual's state
Zip Code 024621627
Group Practice or individual's zip code (9 digits when available)
Phone Number 6172445355
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 220101
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 NEWTON-WELLESLEY HOSPITAL
Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment Y

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