Physician Compare National (NPI:1285899948)

HEALTHCARE PROVIDER: TIMOTHY SCOTT NEAVIN 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	1285899948
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1658437348
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20090304000589
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	NEAVIN
	Individual professional last name
Provider First Name	TIMOTHY
	Individual professional first name
Provider Middle Name	S
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
	Individual professional's medical school
Graduation Year	2002
	Individual professional's medical school graduation year
Primary Specialty	PLASTIC AND RECONSTRUCTIVE SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	HAND SURGERY
	First secondary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 2	MAXILLOFACIAL SURGERY
	Second secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	HAND SURGERY, MAXILLOFACIAL SURGERY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	421 N RODEO DR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE A 1
	Group Practice or individual's line 2 address
City	BEVERLY HILLS
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	902104500
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	050350
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	BEVERLY HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y