Physician Compare National (NPI:1295746253)

HEALTHCARE PROVIDER: PAUL ROBERT CALLEGARI 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	1295746253
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1153581350
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20120327000811
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	CALLEGARI
	Individual professional last name
Provider First Name	PAUL
	Individual professional first name
Provider Middle Name	R
	Individual professional middle name
Provider Name Suffix Text	I
	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	OTHER
	Individual professional's medical school
Graduation Year	1983
	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
All Secondary Specialties	HAND SURGERY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	6585 S YALE AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 1050
	Group Practice or individual's line 2 address
City	TULSA
	Group Practice or individual's city
State	OK
	Group Practice or individual's state
Zip Code	741368330
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	370218
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	SAINT FRANCIS HOSPITAL SOUTH, LLC
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	370091
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	SAINT FRANCIS HOSPITAL, INC
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y