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Physician Compare National (NPI:1275518854)

HEALTHCARE PROVIDER: ANN C ANDERSON DPM

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

Individual Professional Information

NPI 1275518854
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 7911943006
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20050629000289
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name ANDERSON
Individual professional last name
Provider First Name ANN
Individual professional first name
Provider Middle Name CORRIDORI
Individual professional middle name
Provider Gender F
The provider's gender if the provider is a person.
Provider Credential Text DPM
The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information

Medical School Name TEMPLE UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
Individual professional's medical school
Graduation Year 2002
Individual professional's medical school graduation year
Primary Specialty PODIATRY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Organization Legal Name ALLENTOWN FAMILY FOOT CARE PROFESSIONAL CORPORATION
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 8921900804
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 5
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 2100 HANOVER AVE
Group Practice or individual's line 1 address
City ALLENTOWN
Group Practice or individual's city
State PA
Group Practice or individual's state
Zip Code 181092447
Group Practice or individual's zip code (9 digits when available)
Phone Number 6104342000
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 390133
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 LEHIGH VALLEY HOSPITAL
Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2 390049
Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2 ST LUKE'S HOSPITAL BETHLEHEM
Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment Y

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