Physician Compare National (NPI:1295767697)

HEALTHCARE PROVIDER: T TERRY CHUTINAN 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	1295767697
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8921133802
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100317000407
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	CHUTINAN
	Individual professional last name
Provider First Name	TERDSAK
	Individual professional first name
Provider Middle Name	TERRY
	Individual professional middle 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	1961
	Individual professional's medical school graduation year
Primary Specialty	GENERAL SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	FAMILY MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	FAMILY MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	800 N HWY 434
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 4
	Group Practice or individual's line 2 address
City	ALTAMONTE SPRINGS
	Group Practice or individual's city
State	FL
	Group Practice or individual's state
Zip Code	327142143
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	100007
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	FLORIDA HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y