Physician Compare National (NPI:1316989718)

HEALTHCARE PROVIDER: DAVID SAMUEL HADEN 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	1316989718
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9335328178
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110125000847
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HADEN
	Individual professional last name
Provider First Name	DAVID
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1987
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	5505 INDIAN RIVER ROAD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 101
	Group Practice or individual's line 2 address
City	VIRGINIA BEACH
	Group Practice or individual's city
State	VA
	Group Practice or individual's state
Zip Code	234645252
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	490046
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	SENTARA LEIGH HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	490120
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	CHESAPEAKE REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	490007
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	SENTARA NORFOLK GENERAL HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	490119
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	SENTARA PRINCESS ANNE HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	490057
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	SENTARA VIRGINIA BEACH GENERAL HOSPITAL
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1316989718)

HEALTHCARE PROVIDER: DAVID SAMUEL HADEN M.D.

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information