Physician Compare National (NPI:1346225372)

HEALTHCARE PROVIDER: PAUL ALTSHELER 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	1346225372
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7113914474
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20040428000954
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ALTSHELER
	Individual professional last name
Provider First Name	PAUL
	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.
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	VIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1973
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	NEPHROLOGY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	NEPHROLOGY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	3009 N BALLAS RD
	Group Practice or individual's line 1 address
Line 2 Street Address	230A
	Group Practice or individual's line 2 address
City	ST LOUIS
	Group Practice or individual's city
State	MO
	Group Practice or individual's state
Zip Code	631312333
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y