Physician Compare National (NPI:1245442987)

HEALTHCARE PROVIDER: SAFET O. HATIC II D.O.

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

Individual Professional Information
NPI	1245442987
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0244361384
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100706000437
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HATIC
	Individual professional last name
Provider First Name	SAFET
	Individual professional first name
Provider Name Suffix Text	II
	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	OHIO UNIVERSITY, COLLEGE OF OSTEOPATHIC MEDICINE
	Individual professional's medical school
Graduation Year	2005
	Individual professional's medical school graduation year
Primary Specialty	ORTHOPEDIC SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	ORTHOPEDIC ASSOCIATES OF SW OHIO, 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	9638258874
	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	41
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	4160 LITTLE YORK RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 10
	Group Practice or individual's line 2 address
City	DAYTON
	Group Practice or individual's city
State	OH
	Group Practice or individual's state
Zip Code	454145803
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9374159100
	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	360044
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	WAYNE HEALTHCARE
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	360133
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	GRANDVIEW AND SOUTHVIEW HOSPITALS
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	360239
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	KETTERING MEDICAL CENTER - SYCAMORE
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y