Physician Compare National (NPI:1225032097)

HEALTHCARE PROVIDER: JOHN TSOURIS D.P.M.

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

Individual Professional Information
NPI	1225032097
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0749348605
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20081021000620
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	TSOURIS
	Individual professional last name
Provider First Name	JOHN
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	NEW YORK COLLEGE OF PODIATRIC MEDICINE
	Individual professional's medical school
Graduation Year	1989
	Individual professional's medical school graduation year
Primary Specialty	PODIATRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	2233 NESCONSET H'WAY
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 206
	Group Practice or individual's line 2 address
City	LAKE GROVE
	Group Practice or individual's city
State	NY
	Group Practice or individual's state
Zip Code	117551000
	Group Practice or individual's zip code (9 digits when available)
Phone Number	6317514603
	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	330185
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	330246
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	ST CHARLES HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y