Physician Compare National (NPI:1285861708)

HEALTHCARE PROVIDER: CHRISTOPHER DANIEL MAROULES 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	1285861708
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6507050036
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20101028001415
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MAROULES
	Individual professional last name
Provider First Name	CHRISTOPHER
	Individual professional first name
Provider Middle Name	DANIEL
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
	Individual professional's medical school
Graduation Year	2009
	Individual professional's medical school graduation year
Primary Specialty	DIAGNOSTIC RADIOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	97 RICHMOND WAY
	Group Practice or individual's line 1 address
City	CARROLLTON
	Group Practice or individual's city
State	VA
	Group Practice or individual's state
Zip Code	233142782
	Group Practice or individual's zip code (9 digits when available)
Phone Number	2147383286
	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	490007
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	SENTARA NORFOLK GENERAL HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	100008
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	BAPTIST HOSPITAL OF MIAMI
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	100154
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	SOUTH MIAMI HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	100296
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	DOCTORS HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y