Physician Compare National (NPI:1316908205)

HEALTHCARE PROVIDER: DANIEL MARK SKOTTE SR. DO

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

Individual Professional Information
NPI	1316908205
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7113056060
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100603000764
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SKOTTE
	Individual professional last name
Provider First Name	DANIEL
	Individual professional first name
Provider Name Suffix Text	JR.
	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	MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
	Individual professional's medical school
Graduation Year	1982
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	57067 BEAVER DR
	Group Practice or individual's line 1 address
City	SUN RIVER
	Group Practice or individual's city
State	OR
	Group Practice or individual's state
Zip Code	977070572
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	380047
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ST CHARLES MEDICAL CENTER - BEND
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y