Physician Compare National (NPI:1245252063)

HEALTHCARE PROVIDER: OSCAR KIDD 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	1245252063
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5991872590
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080924000151
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	KIDD
	Individual professional last name
Provider First Name	OSCAR
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1978
	Individual professional's medical school graduation year
Primary Specialty	CARDIOVASCULAR DISEASE (CARDIOLOGY)
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	INTERNAL MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	INTERNAL MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	23 6 CARR 198 KM
	Group Practice or individual's line 1 address
City	LAS PIEDRAS
	Group Practice or individual's city
State	PR
	Group Practice or individual's state
Zip Code	00771
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y