Physician Compare National (NPI:1326048828)

HEALTHCARE PROVIDER: JOHN E EMMEL MD

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

Individual Professional Information
NPI	1326048828
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4587611132
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100706000209
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	EMMEL
	Individual professional last name
Provider First Name	JOHN
	Individual professional first name
Provider Middle Name	E
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	WARREN ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY
	Individual professional's medical school
Graduation Year	1977
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	GERIATRIC MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	GERIATRIC MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	JOHN E EMMEL MD PC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	5193772747
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	8
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	1049 ANNA KNAPP BLVD B
	Group Practice or individual's line 1 address
City	MOUNT PLEASANT
	Group Practice or individual's city
State	SC
	Group Practice or individual's state
Zip Code	294643133
	Group Practice or individual's zip code (9 digits when available)
Phone Number	843849880010
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	420065
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	BON SECOURS-ST FRANCIS XAVIER HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y