Physician Compare National (NPI:1346668191)

HEALTHCARE PROVIDER: DAKU SIEWE 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	1346668191
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7416256847
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20190727000090
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SIEWE
	Individual professional last name
Provider First Name	DAKU
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2014
	Individual professional's medical school graduation year
Primary Specialty	DIAGNOSTIC RADIOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	RADIOLOGY ASSOCIATES OF NORTH GEORGIA
	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	2769715044
	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	27
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	1199 PRINCE AVE
	Group Practice or individual's line 1 address
City	ATHENS
	Group Practice or individual's city
State	GA
	Group Practice or individual's state
Zip Code	306062797
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7064757000
	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	110074
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	PIEDMONT ATHENS REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	110010
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	EMORY UNIVERSITY HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	110078
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	EMORY UNIVERSITY HOSPITAL MIDTOWN
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	110082
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	SAINT JOSEPH'S HOSPITAL OF ATLANTA, INC
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	110046
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	CLEARVIEW REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1346668191)

HEALTHCARE PROVIDER: DAKU SIEWE MD

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information