Physician Compare National (NPI:1255400180)

HEALTHCARE PROVIDER: SWAMI NATHAN 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	1255400180
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3274570387
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20101103000931
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	NATHAN
	Individual professional last name
Provider First Name	SWAMI
	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	1971
	Individual professional's medical school graduation year
Primary Specialty	NEUROSURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	198 THOMAS JOHNSON DR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 207
	Group Practice or individual's line 2 address
City	FREDERICK
	Group Practice or individual's city
State	MD
	Group Practice or individual's state
Zip Code	217024462
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	210005
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	FREDERICK MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	310054
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	HACKENSACKUMC MOUNTAINSIDE
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	M