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Physician Compare National (NPI:1336256221)

HEALTHCARE PROVIDER: JOSE POSADA 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 1336256221
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 1951330489
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20050808000016
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name POSADA
Individual professional last name
Provider First Name JOSE
Individual professional first name
Provider Middle Name G
Individual professional middle name
Provider Gender F
The provider's gender if the provider is a person.
Provider Credential Text MD
The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information

Medical School Name OTHER
Individual professional's medical school
Graduation Year 1976
Individual professional's medical school graduation year
Primary Specialty THORACIC SURGERY
Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1 GENERAL SURGERY
First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties GENERAL SURGERY
All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information

Line 1 Street Address 1 TALLOW WOOD DR
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 5
Group Practice or individual's line 2 address
City CLIFTON PARK
Group Practice or individual's city
State NY
Group Practice or individual's state
Zip Code 120652807
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Hospital Affiliation CCN 1 330222
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 SARATOGA HOSPITAL
Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment Y

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