Physician Compare National (NPI:1356320865)

HEALTHCARE PROVIDER: JOHN DROZDICK 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	1356320865
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1456488253
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100428000191
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	DROZDICK
	Individual professional last name
Provider First Name	JOHN
	Individual professional first name
Provider Name Suffix Text	III
	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	HAHNEMANN UNIVERSITY COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	1996
	Individual professional's medical school graduation year
Primary Specialty	OBSTETRICS/GYNECOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	SCRANTON QUINCY CLINIC COMPANY LLC
	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	0143487389
	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	79
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	748 QUINCY AVE
	Group Practice or individual's line 1 address
Marker of address line 2 suppression	Y
	Marker that address as reported may be incomplete
City	SCRANTON
	Group Practice or individual's city
State	PA
	Group Practice or individual's state
Zip Code	185101739
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	390119
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MOSES TAYLOR HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	390192
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	TYLER MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y