Physician Compare National (NPI:1235152828)

HEALTHCARE PROVIDER: DAVID C TREEN JR. 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	1235152828
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8921006669
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100209000635
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	TREEN
	Individual professional last name
Provider First Name	DAVID
	Individual professional first name
Provider Middle Name	C
	Individual professional middle name
Provider Name Suffix Text	JR.
	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.

Medical School Information
Medical School Name	TULANE UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1984
	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	SURGICAL CLINIC OF LOUISIANA LLC
	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	3476500463
	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	1111 MEDICAL CTR BLVD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 860
	Group Practice or individual's line 2 address
City	MARRERO
	Group Practice or individual's city
State	LA
	Group Practice or individual's state
Zip Code	700723136
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5043496860
	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	190039
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	WEST JEFFERSON MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y