Physician Compare National (NPI:1346372828)

HEALTHCARE PROVIDER: NICHOLAS BISCONTI JR. 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	1346372828
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9830275700
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080318000869
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BISCONTI
	Individual professional last name
Provider First Name	NICHOLAS
	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	NORTHEASTERN OHIO UNIVERSITY COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	1985
	Individual professional's medical school graduation year
Primary Specialty	GENERAL SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	AULTMAN NORTH CANTON MEDICAL GROUP
	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	4082605266
	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	70
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	2600 TUSCARAWAS ST W
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 600
	Group Practice or individual's line 2 address
City	CANTON
	Group Practice or individual's city
State	OH
	Group Practice or individual's state
Zip Code	447084676
	Group Practice or individual's zip code (9 digits when available)
Phone Number	3304534300
	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	360084
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	AULTMAN HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y